Healthcare Provider Details

I. General information

NPI: 1285696641
Provider Name (Legal Business Name): ABIGAIL LAMA-GAFFNEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 ELLEN KAY DR STE D
MARION OH
43302-6286
US

IV. Provider business mailing address

1125 ELLEN KAY DR STE D
MARION OH
43302-6286
US

V. Phone/Fax

Practice location:
  • Phone: 740-382-3874
  • Fax: 740-382-2930
Mailing address:
  • Phone: 740-382-3874
  • Fax: 740-382-2930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0004015
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: