| Doctor Name: | ALYA ABBED |
| NPI Number: | 1053651083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC |
| License Number: | 180.008010 |
| Business Practice Address: | 705 E Lincoln St Normal, IL - 617616406 |
| Business Phone Number: | 3096842970 |
| Business Fax Number: | |
| Mailing Address: | 3121 Ridge Crest Dr, BLOOMINGTON |
| State: | IL |
| Postal Code: | 617048307 |
| Phone Number: | 2176228008 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2013 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180.008010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |