Provider Demographics
NPI:1518110642
Name:ABNER, MICHAEL YUSEF
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:YUSEF
Last Name:ABNER
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:YUSEF
Other - Middle Name:
Other - Last Name:ABNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4741 ENGLE RD
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2223
Mailing Address - Country:US
Mailing Address - Phone:916-483-8424
Mailing Address - Fax:916-483-3071
Practice Address - Street 1:4741 ENGLE RD
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-2223
Practice Address - Country:US
Practice Address - Phone:916-483-8424
Practice Address - Fax:916-483-3071
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health