Individual
ABDUREZIK TEGABU AMBAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 HILLSDALE AVE, SAN JOSE, CA 95136-1113
(408) 513-7154
Mailing address
825 HILLSDALE AVE, SAN JOSE, CA 95136-1113
(408) 513-7154
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147993
CA
Other
Enumeration date
05/15/2023
Last updated
06/11/2025
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