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ZACHARY ABBOTT

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

Registrant NPI Number: 1376008649

Individual Registrant:
 ZACHARY  ABBOTT 
Gender: M
Sole Proprietor

Location and contact information for practice:
2513 YOUNGSTOWN RD  TURLOCK, CA 95380-9707 US
Tel: 405-573-9905  Fax: --

Contact information for business:
8898 RODDEN RD  OAKDALE, CA 95361-8777 US
Tel: 650-201-0306  Fax: --

Registration Information:
NPI: 1376008649
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
Y101YM0800XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
9999999999OK05




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