Provider Demographics
NPI:1790746667
Name:ABRAMSON, NILS GUNNAR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NILS
Middle Name:GUNNAR
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8888 EMIGRATION CYN
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1737
Mailing Address - Country:US
Mailing Address - Phone:801-558-5869
Mailing Address - Fax:
Practice Address - Street 1:8888 EMIGRATION CYN
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1737
Practice Address - Country:US
Practice Address - Phone:801-558-5869
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT97-107027-3501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health