Individual provider · NPI-1

Kimberly Abanaka

Marriage & Family Therapist · Oakland, CA

NPI number1255949400
StatusActive
Last updated in NPPESJun 5, 2023

Details

NPI
1255949400
Entity type
Individual (NPI-1)
Name
Kimberly Abanaka
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2020
Certification date
Jun 5, 2023
Last updated
Jun 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist134681CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2828 Ford St
Oakland, CA 94601-2114

Phone 510-268-3770

Mailing address

2828 Ford St
Oakland, CA 94601-2114

Is something wrong?

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