Individual provider · Type 1 NPI

Abigail Sjostrom

Mental Health Counselor · Boulder, CO

NPI number 1114279494 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.0900329 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1114279494

Abigail Sjostrom's National Provider Identifier is 1114279494, issued on Oct 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Oct 10, 2012.