Provider Demographics
NPI:1720820137
Name:HASLEM, ABIGAIL J (MA, LPCC)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:J
Last Name:HASLEM
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:HASLEM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10260 WASHINGTON ST APT 624
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2057
Mailing Address - Country:US
Mailing Address - Phone:309-550-0613
Mailing Address - Fax:
Practice Address - Street 1:10260 WASHINGTON ST APT 624
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2057
Practice Address - Country:US
Practice Address - Phone:309-550-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health