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NPI Code Detail

MEDICARE: ABIGAIL JORDAN CANHAM

MEDICARE: ABIGAIL JORDAN CANHAM
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
1101YA0400XAddiction (Substance Use Disorder) CounselorP-2169NE

General Provider Information

NPI Number : 1972345866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL JORDAN CANHAM
Provider Business Mailing Address
First Line : 1203 S 8TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5875
Country : US
Telephone Number : 402-500-6870
Fax Number : 402-500-6871
Provider Business Practice Location Address
First Line : 1203 S 8TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5875
Country : US
Telephone Number : 402-500-6870
Fax Number : 402-500-6871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 03/10/2026

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Directions to “ ABIGAIL JORDAN CANHAM ” Practice Location

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