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NPI Code Detail

MEDICARE: MS. ABIGAIL EILEEN OMLOR LPCC LPAT ATR-BC

MEDICARE: MS. ABIGAIL EILEEN OMLOR LPCC LPAT ATR-BC
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
1101YP2500XProfessional CounselorCCMH0178791NM

General Provider Information

NPI Number : 1124451158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ABIGAIL EILEEN OMLOR LPCC LPAT ATR-BC
Provider Business Mailing Address
First Line : 12836 LOMAS BLVD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-6200
Country : US
Telephone Number : 920-202-4427
Fax Number :
Provider Business Practice Location Address
First Line : 12836 LOMAS BLVD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-6200
Country : US
Telephone Number : 920-202-4427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2013
Last Update Date : 03/13/2025

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