Provider Demographics
NPI:1619018116
Name:ABATELLI, CHRIS W (LPC)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:W
Last Name:ABATELLI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7060 CRAZY HORSE CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-4237
Mailing Address - Country:US
Mailing Address - Phone:413-626-8841
Mailing Address - Fax:
Practice Address - Street 1:12295 ORACLE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3901
Practice Address - Country:US
Practice Address - Phone:719-749-6904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014789101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional