Healthcare Provider Details

I. General information

NPI: 1770418550
Provider Name (Legal Business Name): ABIGAIL MCMILLEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E DEL MAR BLVD STE 126
PASADENA CA
91105-2551
US

IV. Provider business mailing address

200 E DEL MAR BLVD STE 126
PASADENA CA
91105-2551
US

V. Phone/Fax

Practice location:
  • Phone: 626-415-7341
  • Fax:
Mailing address:
  • Phone: 626-415-7341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: