Provider Demographics
NPI:1740235589
Name:ABAJIAN, CAROLE ABBEY (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ABBEY
Last Name:ABAJIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 SE CAUSEY AVE
Mailing Address - Street 2:C-301
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-7599
Mailing Address - Country:US
Mailing Address - Phone:971-222-4461
Mailing Address - Fax:
Practice Address - Street 1:8640 SE CAUSEY AVE
Practice Address - Street 2:C-301
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-7599
Practice Address - Country:US
Practice Address - Phone:971-222-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL30851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical