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Individual

DR. EHSAN ADIB SHABAHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LMHC, NCC

Contact information

Practice address
100 LANDSDOWNE ST APT 1810, CAMBRIDGE, MA 02139-4247
(617) 906-6767
(617) 693-6040
Mailing address
68 HARRISON AVE, STE 605 PMB 866561, BOSTON, MA 02111-1929
(832) 850-1283
(617) 693-6040

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10003605
MA
101Y00000X
Counselor
10501
SC
101Y00000X
Counselor
20487
NC
101Y00000X
Counselor
6401224763
MI
101Y00000X
Counselor
88146
TX

Other

Enumeration date
01/11/2022
Last updated
06/17/2026
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