# JENNIFER ABRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699092320
- **Gender:** F
- **Credential:** LPC, NCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 63246 | TX | Yes |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 04/20/2010