Healthcare Provider Details

I. General information

NPI: 1174247886
Provider Name (Legal Business Name): ABIGAIL MARIE MESSER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51340 HIGHWAY 97
LA PINE OR
97739-9871
US

IV. Provider business mailing address

2577 NE COURTNEY DR
BEND OR
97701-7752
US

V. Phone/Fax

Practice location:
  • Phone: 541-322-7500
  • Fax: 542-322-7565
Mailing address:
  • Phone: 541-322-7500
  • Fax: 542-322-7565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8612
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: