Kristenne Joyce Abalos
Individual provider Active NPI Marriage & Family Therapist · Fremont, CA
NPI 1306373600 · NPPES record last updated May 17, 2017
Key facts
- NPI
- 1306373600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 39155 Liberty St Ste E500
Fremont, CA 94538-1516 - Phone
- (510) 574-2144
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
39155 Liberty St Ste E500
Fremont, CA 94538-1516
Mailing address
3154 San Angelo Way
Union City, CA 94587-2804
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All providers in Fremont, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.