Individual
PHYLLIS MABBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
860 CO RD 142, LAKE CITY, CO 81235
(970) 944-2246
(970) 944-2477
Mailing address
1968 CIRCLE PARK LN, ENCINITAS, CA 92024-1928
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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