Provider Demographics
NPI:1760859938
Name:ABRAMS, CALEB (LMFT)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 W CHERRY LN STE 1042
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1119
Mailing Address - Country:US
Mailing Address - Phone:208-918-2419
Mailing Address - Fax:208-593-3754
Practice Address - Street 1:4666 W SAN SALVO DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-5019
Practice Address - Country:US
Practice Address - Phone:619-884-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
CA111448106H00000X, 106H00000X
CALMFT111448106H00000X
ID11764917171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist