Provider Demographics
NPI:1558691535
Name:ABARR, DENNIS (MA)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:ABARR
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11471 BUSINESS BLVD UNIT 771034
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-0419
Mailing Address - Country:US
Mailing Address - Phone:907-726-5060
Mailing Address - Fax:907-726-5061
Practice Address - Street 1:16635 CENTERFIELD DR STE 202
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7746
Practice Address - Country:US
Practice Address - Phone:907-726-5060
Practice Address - Fax:907-726-5061
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health