Provider Demographics
NPI:1205560380
Name:KLIMA, ABIGAIL L (MA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:L
Last Name:KLIMA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16965 PINE LN STE 103
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-6517
Mailing Address - Country:US
Mailing Address - Phone:720-842-5553
Mailing Address - Fax:
Practice Address - Street 1:16965 PINE LN STE 103
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-6517
Practice Address - Country:US
Practice Address - Phone:720-842-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional