Provider Demographics
NPI:1245615509
Name:AVILES-SCOTT, ABRAN ABEL (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ABRAN
Middle Name:ABEL
Last Name:AVILES-SCOTT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:ABRAHAM
Other - Middle Name:ABEL
Other - Last Name:AVILES-SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94522-0372
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2459 HICKORY DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1729
Practice Address - Country:US
Practice Address - Phone:925-326-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT113688106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist