MEDICARE: ABIBATU KALLON DABOH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	94511

General Provider Information

NPI Number	:	1366200065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIBATU KALLON DABOH

Provider Business Mailing Address
First Line	:	8007 BARNES RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-0103
Country	:	US
Telephone Number	:	346-847-5924
Fax Number	:

Provider Business Practice Location Address
First Line	:	8007 BARNES RIDGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-0103
Country	:	US
Telephone Number	:	134-638-3478
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/10/2026

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Directions to “ ABIBATU KALLON DABOH ” Practice Location

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