Provider Demographics
NPI:1497484356
Name:CELESTINO, ABIGAIL R (LPC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:R
Last Name:CELESTINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:E
Other - Last Name:ROBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1006 GERMANIA ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-5285
Mailing Address - Country:US
Mailing Address - Phone:415-497-6576
Mailing Address - Fax:
Practice Address - Street 1:1006 GERMANIA ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-5285
Practice Address - Country:US
Practice Address - Phone:415-497-6576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401224465101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional