Individual
ABRAHAM ISAAC ACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 REDLANDS AVE, PERRIS, CA 92571-2600
(951) 940-6600
Mailing address
10935 TERRA VISTA PKWY APT 181, RANCHO CUCAMONGA, CA 91730-6356
(909) 248-8453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/23/2015
Last updated
10/21/2015
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