Provider Demographics
NPI:1407645542
Name:OLEARY, ABIGAIL (LMFT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:OLEARY
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:OLEARY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:26 SCHOOL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3955
Mailing Address - Country:US
Mailing Address - Phone:443-847-0168
Mailing Address - Fax:
Practice Address - Street 1:6731 CURRAN ST
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3985
Practice Address - Country:US
Practice Address - Phone:703-375-9234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717002413106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist