Krystal Nadine Abraham
Individual provider Active NPI Counselor · Logan, UT
NPI 1427367044 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1427367044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 655 E 1300 N
Logan, UT 84341 - Phone
- (435) 792-6491
- Fax
- (435) 792-6608
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
655 E 1300 N
Logan, UT 84341
Mailing address
655 E 1300 N
Logan, UT 84341
Phone (435) 792-6491
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.