Provider Demographics
NPI:1598071045
Name:ABRIC, LAUREN L (LPC, ATR, BCPC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:L
Last Name:ABRIC
Suffix:
Gender:F
Credentials:LPC, ATR, BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 NEWFIELD ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-1883
Mailing Address - Country:US
Mailing Address - Phone:860-514-4773
Mailing Address - Fax:860-740-6132
Practice Address - Street 1:331 WETHERSFIELD AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1420
Practice Address - Country:US
Practice Address - Phone:860-236-4511
Practice Address - Fax:860-231-8449
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001804101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional