Provider Demographics
NPI:1083273122
Name:ALDRIDGE, ABBIE (MA, LMHC, LPC, LCPC)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:MA, LMHC, LPC, LCPC
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:
Other - Last Name:ROLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5420 KOHLER RD UNIT 41291
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-6013
Mailing Address - Country:US
Mailing Address - Phone:727-213-8889
Mailing Address - Fax:727-220-5890
Practice Address - Street 1:7901 4TH ST N STE 16605
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:727-213-8889
Practice Address - Fax:727-220-5890
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health