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SHANNON ABERNATHY

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

Registrant NPI Number: 1033427125

Individual Registrant:
 SHANNON  ABERNATHY 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
115C CORAL ST  SANTA CRUZ, CA 95060-2148 US
Tel: 831-459-6644  Fax: --

Contact information for business:
290 PIONEER ST  SANTA CRUZ, CA 95060-2133 US
Tel: --  Fax: --

Registration Information:
NPI: 1033427125
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RSS/CSOP PROVIDER IDENTIFIER NUMBER44P01




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