Provider Demographics
NPI:1689791931
Name:MORRISON, ABIGAIL C (LAC, MAC)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:C
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MILL ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-6310
Mailing Address - Country:US
Mailing Address - Phone:207-594-7372
Mailing Address - Fax:
Practice Address - Street 1:17 MASONIC ST
Practice Address - Street 2:CENTER FOR HEALTH AND HEALING
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2808
Practice Address - Country:US
Practice Address - Phone:207-594-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC274171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist