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MANSOUR ABDUR-RAHIM

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104165638

Individual Registrant:
 MANSOUR  ABDUR-RAHIM 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
165 ROANOKE RD  EL CAJON, CA 92020-4015 US
Tel: 619-588-3653  Fax: --

Contact information for business:
165 ROANOKE RD  EL CAJON, CA 92020-4015 US
Tel: 619-588-3653  Fax: --

Registration Information:
NPI: 1104165638
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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