Provider Demographics
NPI:1821202904
Name:ABDO, MARTIN K (COUNSELOR)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:K
Last Name:ABDO
Suffix:
Gender:M
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:BOX 359797
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2499
Mailing Address - Country:US
Mailing Address - Phone:206-744-9662
Mailing Address - Fax:206-744-9854
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359797
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2499
Practice Address - Country:US
Practice Address - Phone:206-744-9662
Practice Address - Fax:206-744-9854
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60144280101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor