Provider Demographics
NPI:1104504356
Name:SABIO, PAOLA KARINA (APCC)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:KARINA
Last Name:SABIO
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:PAOLA
Other - Middle Name:KARINA
Other - Last Name:PARTIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:446 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-3026
Mailing Address - Country:US
Mailing Address - Phone:619-515-2406
Mailing Address - Fax:
Practice Address - Street 1:446 26TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-3026
Practice Address - Country:US
Practice Address - Phone:619-515-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4312101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health