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MICHELLE F ABODEELY M.A.
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1265639751
Individual Registrant: MICHELLE F ABODEELY M.A.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
250 LOCUST ST SANTA CRUZ, CA 95060-3813 US
Tel: 831-427-3500 Fax: 831-427-1718
Tel: 831-427-3500 Fax: 831-427-1718
Contact information for business:
250 LOCUST ST SANTA CRUZ, CA 95060-3813 US
Tel: 831-427-3500 Fax: 831-427-1718
Tel: 831-427-3500 Fax: 831-427-1718
Registration Information:
NPI: 1265639751
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 | 79192 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DRIVER'S LICENSE # | D9958646 | CA | 01 |
