Provider Demographics
NPI:1619497864
Name:ABBRUZZA, ELIZABETH LAUREN (MA, LMHCA, MHP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LAUREN
Last Name:ABBRUZZA
Suffix:
Gender:F
Credentials:MA, LMHCA, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16301 NE 8TH ST # 204
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3992
Mailing Address - Country:US
Mailing Address - Phone:206-618-8700
Mailing Address - Fax:
Practice Address - Street 1:16301 NE 8TH ST # 204
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3992
Practice Address - Country:US
Practice Address - Phone:206-618-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60979035101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health