Nora Abbou

Individual provider Active NPI Marriage & Family Therapist · El Cajon, CA

NPI 1255748869 · NPPES record last updated Oct 29, 2015

Key facts

NPI
1255748869
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
IMF 89666 (CA)
Practice address
1664 Broadway
El Cajon, CA 92021-5201
Phone
(619) 579-8685
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
IMF 89666CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X IMF 89666 CA Yes

Addresses

Primary practice location

1664 Broadway
El Cajon, CA 92021-5201

Mailing address

1664 Broadway
El Cajon, CA 92021-5201
Phone (619) 579-8685

Other providers in El Cajon, CA

All providers in El Cajon, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.