Provider Demographics
NPI:1912022203
Name:ABRAHAM, DEBORAH (MFT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N SAN ANTONIO RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1373
Mailing Address - Country:US
Mailing Address - Phone:650-949-5562
Mailing Address - Fax:650-493-7009
Practice Address - Street 1:900 N SAN ANTONIO RD
Practice Address - Street 2:SUITE 207
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1373
Practice Address - Country:US
Practice Address - Phone:650-949-5562
Practice Address - Fax:650-493-7009
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 23566101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health