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VALERIE ABBOTT

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

Registrant NPI Number: 1912444399

Individual Registrant:
 VALERIE  ABBOTT 
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: --

Contact information for business:
1351 BUCKINGHAM WAY #23 STOCKTON, CA 95207-4939 US
Tel: 209-481-6760  Fax: --

Registration Information:
NPI: 1912444399
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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