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Organization
ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC
Active
Organization
ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN GABRIELA SHANAHAN LMFT (CEO/CLINICAL SUPERVISOR)
(714) 699-3367
Entity
Organization
Contact information
Practice address
1633 E 4TH ST STE 184, SANTA ANA, CA 92701-5143
(714) 699-3367
Mailing address
1633 E 4TH ST STE 184, SANTA ANA, CA 92701-5143
(714) 699-3367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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