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VALERIE ABBOTT
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1912444399
Individual Registrant: VALERIE ABBOTT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
955 W CENTER ST STE 12A MANTECA, CA 95337-7300 US
Tel: 209-239-9600 Fax: --
Tel: 209-239-9600 Fax: --
Contact information for business:
1351 BUCKINGHAM WAY #23 STOCKTON, CA 95207-4939 US
Tel: 209-481-6760 Fax: --
Tel: 209-481-6760 Fax: --
Registration Information:
NPI: 1912444399
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
