Individual provider · NPI-1

Krista Colleen Abbott, MA, LPCC

Counselor, Professional · Minneapolis, MN

NPI number1225536196
StatusActive
Last updated in NPPESJan 25, 2018

Details

NPI
1225536196
Entity type
Individual (NPI-1)
Name
Krista Colleen Abbott
Credential
MA, LPCC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2018
Last updated
Jan 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional1675MNYes

Practice location

3100 W Lake St Ste 210
Minneapolis, MN 55416-4597

Phone 612-925-6033 · Fax 612-925-8496

Mailing address

3100 W Lake St Ste 210
Minneapolis, MN 55416-4597

Phone 612-925-6033 · Fax 612-925-8496

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