Provider Demographics
NPI:1700094539
Name:ABBOTT, DANIELA SUZANNE (LMFT)
Entity type:Individual
Prefix:MS
First Name:DANIELA
Middle Name:SUZANNE
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 S MONROE ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3705
Mailing Address - Country:US
Mailing Address - Phone:303-884-0115
Mailing Address - Fax:303-388-2430
Practice Address - Street 1:360 S MONROE ST
Practice Address - Street 2:SUITE 250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3705
Practice Address - Country:US
Practice Address - Phone:303-884-0115
Practice Address - Fax:303-388-2430
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO435106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist