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KRISSIE RAQUEL ABDULLAHI

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1407307762

Individual Registrant:
 KRISSIE RAQUEL ABDULLAHI 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
500 W HOSPITAL RD  FRENCH CAMP, CA 95231-9693 US
Tel: 209-468-6208  Fax: 209-468-7032

Contact information for business:
1414 N CALIFORNIA ST  STOCKTON, CA 95202-1515 US
Tel: 209-468-6208  Fax: 209-468-8700

Registration Information:
NPI: 1407307762
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CA125000

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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