Provider Demographics
NPI:1184068058
Name:CHRISTIANSEN, ABIGAIL (LMFT)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:CHRISTIANSEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47901-1439
Mailing Address - Country:US
Mailing Address - Phone:765-430-4173
Mailing Address - Fax:
Practice Address - Street 1:802 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47901-1439
Practice Address - Country:US
Practice Address - Phone:765-430-4173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001662A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist