Healthcare Provider Details

I. General information

NPI: 1982179636
Provider Name (Legal Business Name): DEBRA LYNN KABRIN MA, MFT, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23505 CRENSHAW BLVD STE 262
TORRANCE CA
90505-5223
US

IV. Provider business mailing address

270 E PLENTY ST
LONG BEACH CA
90805-6636
US

V. Phone/Fax

Practice location:
  • Phone: 310-227-9565
  • Fax:
Mailing address:
  • Phone: 310-227-9565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT48036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: