Provider Demographics
NPI:1972056471
Name:ABDUL-ALI, RABIIA (LMFT)
Entity type:Individual
Prefix:
First Name:RABIIA
Middle Name:
Last Name:ABDUL-ALI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RABIIA
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:2020 29TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1119
Mailing Address - Country:US
Mailing Address - Phone:916-495-4561
Mailing Address - Fax:916-706-0929
Practice Address - Street 1:2020 29TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1119
Practice Address - Country:US
Practice Address - Phone:916-495-4561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CAMFT119187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor