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Individual

KIMYA SABZBALOUCH-I-BAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1819 CLIFF DR STE F, SANTA BARBARA, CA 93109-1650
(805) 586-2400
Mailing address
6602 PETIT AVE, VAN NUYS, CA 91406-5627
(818) 530-8969

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC1900X
Counseling Psychologist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/28/2017
Last updated
03/17/2025
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