Healthcare Provider Details

I. General information

NPI: 1841135167
Provider Name (Legal Business Name): JENNIFER LYNN ABRAHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6780 COFFMAN RD
DUBLIN OH
43017-1027
US

IV. Provider business mailing address

6780 COFFMAN RD
DUBLIN OH
43017-1027
US

V. Phone/Fax

Practice location:
  • Phone: 614-718-8135
  • Fax:
Mailing address:
  • Phone: 614-718-8135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCDCA-193129
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA-193129
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: