Provider Demographics
NPI:1083388417
Name:ABRAM, ZOE C
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:C
Last Name:ABRAM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 TAYLOR HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:MA
Mailing Address - Zip Code:01351-9511
Mailing Address - Country:US
Mailing Address - Phone:413-588-1326
Mailing Address - Fax:
Practice Address - Street 1:91 TAYLOR HILL RD
Practice Address - Street 2:
Practice Address - City:MONTAGUE
Practice Address - State:MA
Practice Address - Zip Code:01351-9511
Practice Address - Country:US
Practice Address - Phone:413-588-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10003225101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health