Provider Demographics
NPI:1790319556
Name:HOWARD, ABIGAIL LEHNE KRUGER
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LEHNE KRUGER
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 FORT CASEY RD
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-9743
Mailing Address - Country:US
Mailing Address - Phone:847-858-2751
Mailing Address - Fax:
Practice Address - Street 1:2335 PEAK RD
Practice Address - Street 2:
Practice Address - City:LYNDONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05851-9546
Practice Address - Country:US
Practice Address - Phone:203-233-5497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT146.0134175103K00000X
VTLI361902103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst