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Abdurezik Tegabu Ambaw
Mental Health Counselor in San Jose, California
NPI 1205526092

Abdurezik Tegabu Ambaw is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Abdurezik Tegabu Ambaw practices in San Jose, CA. The NPI Number for Abdurezik Tegabu Ambaw is 1205526092 and holds a License No. (California).

The current practice location address for Abdurezik Tegabu Ambaw is 825 Hillsdale Ave, San Jose, CA and can be reached out via phone at 408-513-7154.

Location: 825 Hillsdale Ave, San Jose, CA, 95136-1113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205526092
Provider Name
Abdurezik Tegabu Ambaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
825 Hillsdale Ave, San Jose, CA, 95136-1113
Phone Number
408-513-7154
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 Hillsdale Ave
City
San Jose
State
California
Zip
95136-1113
Phone Number
408-513-7154
Fax Number
person
Provider Business Mailing Address Details
Address
825 Hillsdale Ave
City
San Jose
State
California
Zip
95136-1113
Phone Number
408-513-7154
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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