Provider Demographics
NPI:1043283708
Name:ABATE, PAULA JEAN (MFT, MA, DAPA)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JEAN
Last Name:ABATE
Suffix:
Gender:F
Credentials:MFT, MA, DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-1474
Mailing Address - Country:US
Mailing Address - Phone:951-658-1253
Mailing Address - Fax:951-658-1253
Practice Address - Street 1:1001 N STATE ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-1474
Practice Address - Country:US
Practice Address - Phone:951-658-1253
Practice Address - Fax:951-658-1253
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30721106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist