Healthcare Provider Details

I. General information

NPI: 1366200065
Provider Name (Legal Business Name): ABIBATU KALLON DABOH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8007 BARNES RIDGE LN
HOUSTON TX
77072-0103
US

IV. Provider business mailing address

8007 BARNES RIDGE LN
HOUSTON TX
77072-0103
US

V. Phone/Fax

Practice location:
  • Phone: 134-638-3478
  • Fax:
Mailing address:
  • Phone: 346-847-5924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number94511
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: