Provider Demographics
NPI:1255047353
Name:WEBER, ABRAHM JOSEPH (LPC)
Entity type:Individual
Prefix:
First Name:ABRAHM
Middle Name:JOSEPH
Last Name:WEBER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N15757 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:TREMPEALEAU
Mailing Address - State:WI
Mailing Address - Zip Code:54661-7216
Mailing Address - Country:US
Mailing Address - Phone:608-630-1910
Mailing Address - Fax:
Practice Address - Street 1:N15757 HARRIS RD
Practice Address - Street 2:
Practice Address - City:TREMPEALEAU
Practice Address - State:WI
Practice Address - Zip Code:54661-7216
Practice Address - Country:US
Practice Address - Phone:608-630-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
WI8443-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional