Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC008210 | GA |
NPI | 1003206012 |
---|---|
Provider Name | Abigail Drew Abel |
First Address | Senoia, GA 30276-3137 |
Second Address | Peachtree City, GA 30269-3334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2015 |
Last Update Date | 28/01/2015 |