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ALICIA ABBOTT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255457867

Individual Registrant:
 ALICIA  ABBOTT 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13800 HEACOCK ST STE D111  MORENO VALLEY, CA 92553-3340 US
Tel: 951-653-1800  Fax: --

Contact information for business:
19401 S VERMONT AVE SUITE A-200 TORRANCE, CA 90502-1029 US
Tel: 310-323-6887  Fax: --

Registration Information:
NPI: 1255457867
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC 40307

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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