Charles, Abby

Charles, Abby is an sole proprietor health care provider with primary practice located at 13657 Davenport Rd , Santa Clarita CA 91390-4735. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Charles, Abby can be contacted via phone (661) 434-0874.

Contact Information

Primary practice address
13657 Davenport Rd Santa Clarita CA 91390-4735
Phone: (661) 434-0874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 93902 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 121372 California

Profile Details

NPI number 1417360801
LBN Legal business name Charles, Abby
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2014
Last updated May 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417360801 NPPES
California Other 95-2633765 MEDI-CAL

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