Provider Demographics
NPI:1174334643
Name:YELLEN, ABBIE (LPCC)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:YELLEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27636 COUNTY ROAD 340
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-9740
Mailing Address - Country:US
Mailing Address - Phone:719-315-1811
Mailing Address - Fax:
Practice Address - Street 1:27636 COUNTY ROAD 340
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9740
Practice Address - Country:US
Practice Address - Phone:719-315-1811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017916101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health