Brian S Abbott, MFT

Individual provider Active NPI Marriage & Family Therapist · Redding, CA

NPI 1740299015 · NPPES record last updated Sep 5, 2013

Key facts

NPI
1740299015
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 38633 (CA)
Practice address
2640 Breslauer Way
Redding, CA 96001-4246
Phone
(530) 229-8047
Fax
(530) 225-3866
NPI assigned
Aug 5, 2006
Sex
Male
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
MFC 38633CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 38633 CA Yes

Addresses

Primary practice location

2640 Breslauer Way
Redding, CA 96001-4246

Mailing address

14711 Fern Rd
Whitmore, CA 96096-9508
Phone (530) 472-3163

Other providers in Redding, CA

All providers in Redding, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.