Provider Demographics
NPI:1154999373
Name:EMMERT, ABIGAIL RUTH (MA LPC NCC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:RUTH
Last Name:EMMERT
Suffix:
Gender:F
Credentials:MA LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11-13 SUNFLOWER AVE STE 1060
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3754
Mailing Address - Country:US
Mailing Address - Phone:267-733-5767
Mailing Address - Fax:
Practice Address - Street 1:11-13 SUNFLOWER AVE STE 1060
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3754
Practice Address - Country:US
Practice Address - Phone:267-733-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional