Provider Demographics
NPI:1093099962
Name:ABELING, JACQUELINE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:ABELING
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4753
Mailing Address - Country:US
Mailing Address - Phone:360-382-4297
Mailing Address - Fax:360-282-0788
Practice Address - Street 1:1329 N STATE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4753
Practice Address - Country:US
Practice Address - Phone:360-382-4297
Practice Address - Fax:360-282-0788
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2447106H00000X
WALF61117197106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist