Provider Demographics
NPI:1033783659
Name:COONS, ABIGAIL SAGE (MS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:SAGE
Last Name:COONS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 EGREMONT RD APT 4
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-7332
Mailing Address - Country:US
Mailing Address - Phone:585-474-8450
Mailing Address - Fax:
Practice Address - Street 1:37 EGREMONT RD APT 4
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-7332
Practice Address - Country:US
Practice Address - Phone:585-474-8450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor