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Kaithleen Nicole Masa Abastillas

Marriage & Family Therapist in Fullerton, CA. Individual provider (NPI-1).

NPI number1962086199
StatusActive
Last updated in NPPESMay 12, 2021

Details

NPI
1962086199
Entity type
Individual (NPI-1)
Name
Kaithleen Nicole Masa Abastillas
Sex
Female
Sole proprietor
Yes
Enumeration date
May 12, 2021
Certification date
May 12, 2021
Last updated
May 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Practice location

2601 E Chapman Ave
Fullerton, CA 92831-3737

Phone 949-293-6249

Mailing address

11901 176th St Apt 128
Artesia, CA 90701-4042

Phone 562-968-9488

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