Provider Demographics
NPI:1447896543
Name:CLABBY, ABRAHAM JOSHUA (LPC-INTERN)
Entity type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:JOSHUA
Last Name:CLABBY
Suffix:
Gender:M
Credentials:LPC-INTERN
Other - Prefix:MR
Other - First Name:ABE
Other - Middle Name:
Other - Last Name:CLABBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:76 WHITE BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2050
Mailing Address - Country:US
Mailing Address - Phone:512-378-3588
Mailing Address - Fax:
Practice Address - Street 1:1645 MAIN ST STE A5
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-5043
Practice Address - Country:US
Practice Address - Phone:512-648-5989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-23
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77798101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor