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NPI Code Detail

MEDICARE: MR. BRIAN S ABBOTT MFT

MEDICARE: MR. BRIAN S ABBOTT MFT
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
1106H00000XMarriage & Family TherapistMFC 38633CA

General Provider Information

NPI Number : 1740299015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN S ABBOTT MFT
Provider Business Mailing Address
First Line : 14711 FERN RD
Second Line :
City : WHITMORE
State : CA
Zip : 96096-9508
Country : US
Telephone Number : 530-472-3163
Fax Number :
Provider Business Practice Location Address
First Line : 2640 BRESLAUER WAY
Second Line :
City : REDDING
State : CA
Zip : 96001-4246
Country : US
Telephone Number : 530-229-8047
Fax Number : 530-225-3866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 09/05/2013

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