Provider Demographics
NPI:1427450915
Name:KAY, ABIGAIL JOLLEY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:JOLLEY
Last Name:KAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ABI
Other - Middle Name:
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1355 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-5981
Mailing Address - Country:US
Mailing Address - Phone:801-259-3883
Mailing Address - Fax:
Practice Address - Street 1:1355 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-5981
Practice Address - Country:US
Practice Address - Phone:801-259-3883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5049721-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical