Healthcare Provider Details

I. General information

NPI: 1407768377
Provider Name (Legal Business Name): ABIGAIL KLAUSNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

764 PALISADE AVE
TEANECK NJ
07666-3129
US

IV. Provider business mailing address

764 PALISADE AVE
TEANECK NJ
07666-3129
US

V. Phone/Fax

Practice location:
  • Phone: 206-313-6795
  • Fax:
Mailing address:
  • Phone: 206-313-6795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP145981
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00985800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: