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PHYLLIS MABBETT PHD

Addiction (Substance Use Disorder) >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1922472059

Individual Registrant:
 PHYLLIS  MABBETT PHD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
860 CO RD 142  LAKE CITY, CO 81235 US
Tel: 970-944-2246  Fax: 970-944-2477

Contact information for business:
1968 CIRCLE PARK LN  ENCINITAS, CA 92024-1928 US
Tel: --  Fax: --

Registration Information:
NPI: 1922472059
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TA0400XBehavioral Health & Social Service Providers
Psychologist
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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