MEDICARE: ABBY ALLDREAD MS

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	:	1780319475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY ALLDREAD MS

Provider Business Mailing Address
First Line	:	1610 FENWAY LN
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-5567
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5027 WRIGHTSVILLE AVE
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-7046
Country	:	US
Telephone Number	:	888-815-5502
Fax Number	:

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

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	03/19/2026

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