MEDICARE: ABIGAIL CATHERINE OCONNOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1093645202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL CATHERINE OCONNOR

Provider Business Mailing Address
First Line	:	53 HISTORY HILLS CT
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-3764
Country	:	US
Telephone Number	:	518-598-7549
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 WELLNESS WAY STE 112
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-2142
Country	:	US
Telephone Number	:	518-881-1109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ ABIGAIL CATHERINE OCONNOR ” Practice Location

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