Provider Demographics
NPI:1548881741
Name:CULLENS-PROCTOR, LETITIA PATRICIA (LPC)
Entity type:Individual
Prefix:
First Name:LETITIA
Middle Name:PATRICIA
Last Name:CULLENS-PROCTOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834F S PERRY ST UNIT 1448
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1936
Mailing Address - Country:US
Mailing Address - Phone:720-213-8583
Mailing Address - Fax:
Practice Address - Street 1:834F S PERRY ST UNIT 1448
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1936
Practice Address - Country:US
Practice Address - Phone:720-213-8583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018443101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional