Healthcare Provider Details

I. General information

NPI: 1306074380
Provider Name (Legal Business Name): ABR COUNSELING ASSOCIATES OF KENT COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S. BRADFORD ST. SUITE 7
DOVER DE
19904-7020
US

IV. Provider business mailing address

1001 S. BRADFORD ST. SUITE 7
DOVER DE
19904-7020
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-4558
  • Fax: 302-678-4577
Mailing address:
  • Phone: 302-678-4558
  • Fax: 302-678-4577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. THERESA SHAHAN
Title or Position: PRESIDENT
Credential:
Phone: 302-678-4558