Provider Demographics
NPI:1194954594
Name:OKARMUS, ABIGAIL (LPC)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:OKARMUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:FULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:49 WETHERSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1102
Mailing Address - Country:US
Mailing Address - Phone:860-834-3096
Mailing Address - Fax:860-347-3813
Practice Address - Street 1:15 VICTORIA DR
Practice Address - Street 2:
Practice Address - City:KILLINGWORTH
Practice Address - State:CT
Practice Address - Zip Code:06419-1148
Practice Address - Country:US
Practice Address - Phone:860-384-0235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001329106H00000X
CT001717101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional