Provider Demographics
NPI:1457512196
Name:ABELN, MAXI CHARLES (LMFT)
Entity Type:Individual
Prefix:
First Name:MAXI
Middle Name:CHARLES
Last Name:ABELN
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 1:5705 COLFAX AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1705
Mailing Address - Country:US
Mailing Address - Phone:612-559-4773
Mailing Address - Fax:612-445-0112
Practice Address - Street 1:1919 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3747
Practice Address - Country:US
Practice Address - Phone:612-445-0225
Practice Address - Fax:612-445-0112
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2339106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist