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General NPI Number Information
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NPI Number | 1073033049
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Entity Type | Individual
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Provider Name | ABIGAIL JOY SHAHAR LCPC, LCPAT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 7520 STANDISH PL STE 190
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City | ROCKVILLE
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State | MD
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Zip | 20855-2847
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Country | US
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Telephone | 301-237-0535
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Fax |
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Provider Business Mailing Address
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Address Line | 66 REGATTA BAY CT APT 203
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City | ANNAPOLIS
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State | MD
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Zip | 21401-6275
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Country | US
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Telephone | 301-237-0535
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC4984
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License Number State | MD
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