Yaqinah Abdurrahman

Individual provider Active NPI Mental Health Counselor · Vacaville, CA

NPI 1750684239 · NPPES record last updated Dec 6, 2010

Key facts

NPI
1750684239
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
5063 Midway Rd
Vacaville, CA 95688-9697
Phone
(707) 678-5614
NPI assigned
Dec 6, 2010
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

5063 Midway Rd
Vacaville, CA 95688-9697

Mailing address

5063 Midway Rd
Vacaville, CA 95688-9697
Phone (707) 678-5614

Other providers in Vacaville, CA

All providers in Vacaville, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.