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MR. JONATHAN C ABADIA LPT
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1225625213
Individual Registrant:MR. JONATHAN C ABADIA LPT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1407 GREENWICH DR # A MANTECA, CA 95336-2930 US
Tel: 209-328-2066 Fax: --
Tel: 209-328-2066 Fax: --
Contact information for business:
1407 GREENWICH DR # A MANTECA, CA 95336-2930 US
Tel: 209-328-2066 Fax: --
Tel: 209-328-2066 Fax: --
Registration Information:
NPI: 1225625213
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
