Provider Demographics
NPI:1942936455
Name:STAUBER, ABBIGAIL CHRISTIE (NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ABBIGAIL
Middle Name:CHRISTIE
Last Name:STAUBER
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:ENON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:16120-0092
Mailing Address - Country:US
Mailing Address - Phone:724-630-8237
Mailing Address - Fax:
Practice Address - Street 1:1126 MAIN ST.
Practice Address - Street 2:
Practice Address - City:ENON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:16120-0092
Practice Address - Country:US
Practice Address - Phone:724-630-8237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014533101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health