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ALICIA ABBOTT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1255457867
Individual Registrant: ALICIA ABBOTT
Gender: F
Not Sole Proprietor
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: --
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: --
Tel: 310-323-6887 Fax: --
Registration Information:
NPI: 1255457867
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC 40307 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
