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HOMIB KIDANE ABRAHA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1871744250

Individual Registrant:
 HOMIB KIDANE ABRAHA 
Gender: F
Sole Proprietor

Location and contact information for practice:
1800 EVANS LN 4104 SAN JOSE, CA 95125-6234 US
Tel: 408-250-4143  Fax: --

Contact information for business:
1800 EVANS LN 4104 SAN JOSE, CA 95125-6234 US
Tel: 408-250-4143  Fax: --

Registration Information:
NPI: 1871744250
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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