Provider Demographics
NPI:1790512333
Name:BENNETT, CATHERINE FLESSAS (LPCC, NCC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:FLESSAS
Last Name:BENNETT
Suffix:
Gender:F
Credentials:LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12255 W TEXAS DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3619
Mailing Address - Country:US
Mailing Address - Phone:720-507-6631
Mailing Address - Fax:
Practice Address - Street 1:12255 W TEXAS DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3619
Practice Address - Country:US
Practice Address - Phone:720-507-6631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health