Provider Demographics
NPI:1477968402
Name:CLAEYS, ABIGAIL (LPC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:CLAEYS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3444 MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-3237
Mailing Address - Country:US
Mailing Address - Phone:217-232-3055
Mailing Address - Fax:
Practice Address - Street 1:5106 HAMPTON AVE STE 208
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-3115
Practice Address - Country:US
Practice Address - Phone:314-717-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-28
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013022307101YP2500X
IL180.008645101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional