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Contact Information

ABIGAIL H BLACKBURN GREEN
6734 N 10TH AVE
PHOENIX, AZ85013-1008
 Phone: 480-466-3119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ABIGAIL H BLACKBURN GREEN · (Female)

NPI # 1558926204
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2019
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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