Provider Demographics
NPI:1508095506
Name:ABALOS, LINDA J (LPC, LIMHP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:ABALOS
Suffix:
Gender:F
Credentials:LPC, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16908 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1656
Mailing Address - Country:US
Mailing Address - Phone:402-800-7220
Mailing Address - Fax:970-797-1813
Practice Address - Street 1:13906 GOLD CIR STE 202
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2336
Practice Address - Country:US
Practice Address - Phone:402-932-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1337101YM0800X
COLPC 0011193101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health