Provider Demographics
NPI:1801483581
Name:RUTLEDGE, ABIGAIL JEAN (LPCC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JEAN
Last Name:RUTLEDGE
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 1:1380 EAST AVE STE 124
Mailing Address - Street 2:#115
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-7349
Mailing Address - Country:US
Mailing Address - Phone:530-433-9037
Mailing Address - Fax:530-430-3884
Practice Address - Street 1:873 BERTINO PL
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-9376
Practice Address - Country:US
Practice Address - Phone:530-433-9037
Practice Address - Fax:530-430-3884
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health