Provider Demographics
NPI:1952871659
Name:ABIEM, AMELIA AMOU JR
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:AMOU
Last Name:ABIEM
Suffix:JR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10507 AURORA AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8888
Mailing Address - Country:US
Mailing Address - Phone:206-417-0888
Mailing Address - Fax:206-417-0313
Practice Address - Street 1:10507 AURORA AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8888
Practice Address - Country:US
Practice Address - Phone:206-417-0888
Practice Address - Fax:206-417-0313
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAABIEMAA167QT101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health