Individual
MR. EHSAN ADIB SHABAHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LMHC, NCC
Contact information
Practice address
68 HARRISON AVE, STE 605 PMB 866561, BOSTON, MA 02111-1929
(832) 850-1283
Mailing address
68 HARRISON AVE, STE 605 PMB 866561, BOSTON, MA 02111-1929
(832) 850-1283
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
05/12/2025
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