Provider Demographics
NPI:1194036129
Name:BLAIR, ABBEY LYNN (MA LPC)
Entity Type:Individual
Prefix:MISS
First Name:ABBEY
Middle Name:LYNN
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4609 NW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73122-7701
Mailing Address - Country:US
Mailing Address - Phone:405-830-5731
Mailing Address - Fax:405-367-7635
Practice Address - Street 1:307 E DANFORTH RD
Practice Address - Street 2:SUITE 124
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-4483
Practice Address - Country:US
Practice Address - Phone:405-726-8966
Practice Address - Fax:405-726-8967
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health