person
Mr. Edward Halomoan Siahaan, MS,MBA,MFTINTERN
Mental Health Counselor in Moreno Valley, California
NPI 1679750947

Edward Halomoan Siahaan is a Mental Health Counselor based in Moreno Valley, CA and is specialized in Mental Health. Edward Halomoan Siahaan practices in Moreno Valley, CA and has the professional credentials of MS,MBA,MFTINTERN. The NPI Number for Edward Halomoan Siahaan is 1679750947 and holds a License No. IMF 50143 (California).

The current practice location address for Edward Halomoan Siahaan is 22899 Cattail Ln, Moreno Valley, CA and can be reached out via phone at 909-553-1481 and via fax at 951-924-7226.

Location: 22899 Cattail Ln, Moreno Valley, CA, 92557-6013
person
Provider Profile Details
NPI Number
1679750947
Provider Name
Edward Halomoan Siahaan
Credential
MS,MBA,MFTINTERN
Provider Entity Type
Individual
Gender
Male
Address
22899 Cattail Ln, Moreno Valley, CA, 92557-6013
Phone Number
909-553-1481
Fax Number
951-924-7226
Provider Enumeration Date
01/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22899 Cattail Ln
City
State
Zip
92557-6013
Phone Number
909-553-1481
Fax Number
951-924-7226
person
Provider Business Mailing Address Details
Address
22899 Cattail Ln
City
State
Zip
92557-6013
Phone Number
909-553-1481
Fax Number
951-924-7226
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF 50143 (California)
Definition
Definition to come...
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