Healthcare Provider Details

I. General information

NPI: 1992425292
Provider Name (Legal Business Name): MABELS COUNSELING AND COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78060 CALLE ESTADO
LA QUINTA CA
92253-2960
US

IV. Provider business mailing address

78060 CALLE ESTADO NA
LA QUINTA CA
92253
US

V. Phone/Fax

Practice location:
  • Phone: 760-698-9613
  • Fax: 760-564-0369
Mailing address:
  • Phone: 442-274-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MABEL R. RIBAS
Title or Position: OWNER
Credential: LMFT
Phone: 760-698-9613