Provider Demographics
NPI:1982928206
Name:CADIGAN, STACEY (MA)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:CADIGAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8889 FOX DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-8841
Mailing Address - Country:US
Mailing Address - Phone:303-405-2053
Mailing Address - Fax:303-405-7849
Practice Address - Street 1:8889 FOX DR
Practice Address - Street 2:SUITE B
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-8841
Practice Address - Country:US
Practice Address - Phone:303-405-2053
Practice Address - Fax:303-405-7849
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health