Provider Demographics
NPI:1770646929
Name:ABRAHAMSSON, ERIKA ANNE (MDIV LMFT)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:ANNE
Last Name:ABRAHAMSSON
Suffix:
Gender:F
Credentials:MDIV LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-1703
Mailing Address - Country:US
Mailing Address - Phone:617-996-9261
Mailing Address - Fax:781-643-4732
Practice Address - Street 1:1234 BROADWAY
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-1703
Practice Address - Country:US
Practice Address - Phone:617-996-9261
Practice Address - Fax:781-643-4732
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist