Provider Demographics
NPI:1336523349
Name:ABRAMS, CHAYA MALKA (LPC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:CHAYA
Middle Name:MALKA
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 S PUBLIC RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2126
Mailing Address - Country:US
Mailing Address - Phone:303-947-3356
Mailing Address - Fax:
Practice Address - Street 1:806 S PUBLIC RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2126
Practice Address - Country:US
Practice Address - Phone:303-947-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5848101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional