# ABUNDANT LIFE, CENTER FOR MFT CLINICAL DEVELOPMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336019355
- **Authorized official:** MRS. KATHLEEN GABRIELA SHANAHAN LMFT (CEO/CLINICAL SUPERVISOR)
- **Authorized official phone:** (714) 699-3367

## Contact information

- **Practice address:** 1633 E 4TH ST STE 184, SANTA ANA, CA 92701-5143
- **Practice address phone:** (714) 699-3367
- **Mailing address:** 1633 E 4TH ST STE 184, SANTA ANA, CA 92701-5143
- **Mailing address phone:** (714) 699-3367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025