Provider Demographics
NPI:1104571496
Name:JUNIE ABITO & ASSOCIATES A MARRIAGE AND FAMILY THERAPY CORPORATION
Entity type:Organization
Organization Name:JUNIE ABITO & ASSOCIATES A MARRIAGE AND FAMILY THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDEN
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSALISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ABITO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:310-498-5890
Mailing Address - Street 1:4105 E BROADWAY STE 205
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-1503
Mailing Address - Country:US
Mailing Address - Phone:310-498-5890
Mailing Address - Fax:
Practice Address - Street 1:4105 E BROADWAY STE 205
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-1503
Practice Address - Country:US
Practice Address - Phone:310-498-5890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty