Individual
KIMBERLY ANN ABISSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CIRCLE AVE, LYNN, MA 01905-3050
(781) 595-2413
Mailing address
12 MOUNT VERNON ST, SALEM, MA 01970-3010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93897
ACADIA
MA
Enumeration date
10/11/2019
Last updated
10/11/2019
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