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Individual

MR. FEREIDOUN KAMALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2190
(505) 272-3466
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-8350
(505) 272-3466

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0165001
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700114782
NM
Enumeration date
12/02/2009
Last updated
10/11/2019
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