Provider Demographics
NPI:1073033049
Name:SHAHAR, ABIGAIL JOY (LCPC, LCPAT)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:JOY
Last Name:SHAHAR
Suffix:
Gender:F
Credentials:LCPC, LCPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 REGATTA BAY CT APT 203
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6275
Mailing Address - Country:US
Mailing Address - Phone:301-237-0535
Mailing Address - Fax:
Practice Address - Street 1:7520 STANDISH PL STE 190
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2847
Practice Address - Country:US
Practice Address - Phone:301-237-0535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health