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KIM A ABELSON MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1861530677
Individual Registrant: KIM A ABELSON MFT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
9860 MIDDLE CREEK RD UPPER LAKE, CA 95485-9265 US
Tel: 707-275-8166 Fax: 707-275-8168
Tel: 707-275-8166 Fax: 707-275-8168
Contact information for business:
237 E GOBBI ST UKIAH, CA 95482-5551 US
Tel: 707-472-2922 Fax: 707-462-1381
Tel: 707-472-2922 Fax: 707-462-1381
Registration Information:
NPI: 1861530677
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 42971 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
