Provider Demographics
NPI:1477178499
Name:ABRAHAMSON, DEBBIE (LMHCA)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:ABRAHAMSON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1675
Mailing Address - Street 2:
Mailing Address - City:BRUSH PRAIRIE
Mailing Address - State:WA
Mailing Address - Zip Code:98606-1675
Mailing Address - Country:US
Mailing Address - Phone:360-369-9604
Mailing Address - Fax:
Practice Address - Street 1:17218 NE 152ND AVE
Practice Address - Street 2:
Practice Address - City:BRUSH PRAIRIE
Practice Address - State:WA
Practice Address - Zip Code:98606-7201
Practice Address - Country:US
Practice Address - Phone:360-369-9604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60964344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health