Individual provider · NPI-1

Dylan Abraham

Counselor · Madison, WI

NPI number1679778351
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679778351
Entity type
Individual (NPI-1)
Name
Dylan Abraham
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

625 W Washington Ave
Madison, WI 53703-2637

Phone 608-280-2700

Mailing address

625 W Washington Ave
Madison, WI 53703-2637

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