IndividualActive
Abigail Sjostrom
NPI 1114279494 · Mental Health Counselor · Boulder, CO
Provider details
- NPI number
- 1114279494
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- C.0900329 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1333 Iris Ave
Boulder, CO 80304-2226
Phone: (303) 044-3850
Approximate (ZIP-level) locationGet directions
Mailing address
1333 Iris Ave
Boulder, CO 80304-2226
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2012-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.