Mary R Abraham
Counselor, Mental Health in Anchorage, AK. Individual provider (NPI-1).
NPI number1720722895
StatusActive
Last updated in NPPESApr 25, 2022
Details
- NPI
- 1720722895
- Entity type
- Individual (NPI-1)
- Name
- Mary R Abraham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2022
- Certification date
- Apr 25, 2022
- Last updated
- Apr 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3710 E 20th AveAnchorage, AK 99508-3418
Phone 907-222-7300
Mailing address
3342 W 79th AveAnchorage, AK 99502-4411
Phone 907-268-1432
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