Provider Demographics
NPI:1831806991
Name:LALLEY, ABIGAIL (LPC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:LALLEY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:MARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 HICKORY ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-1724
Mailing Address - Country:US
Mailing Address - Phone:541-760-2197
Mailing Address - Fax:833-224-3845
Practice Address - Street 1:936 8TH AVE SW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2407
Practice Address - Country:US
Practice Address - Phone:541-760-2197
Practice Address - Fax:833-224-3845
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC9163101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health