Individual provider · NPI-1

Kim R. Abbananto, LMFT #42108

Marriage & Family Therapist · Santa Maria, CA

NPI number1659442275
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1659442275
Entity type
Individual (NPI-1)
Name
Kim R. Abbananto
Credential
LMFT #42108
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist42108CAYes

Practice location

124 Carmen Ln
Suites J And L
Santa Maria, CA 93458-7768

Phone 805-928-8622

Mailing address

5151 Verdugo Way Ste 204
Camarillo, CA 93012-8665

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