Provider Demographics
NPI:1841038734
Name:GILLETT, SARA (BS, CAS)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GILLETT
Suffix:
Gender:F
Credentials:BS, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2185 S OSWEGO WAY APT 103
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4981
Mailing Address - Country:US
Mailing Address - Phone:720-404-6953
Mailing Address - Fax:
Practice Address - Street 1:1201 E COLFAX AVE STE 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2239
Practice Address - Country:US
Practice Address - Phone:720-404-6953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
COACC.0021099101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist