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Individual

AMIR VAHABINEJAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5333 MISSION CENTER RD STE 105, SAN DIEGO, CA 92108-1347
(224) 548-6815
Mailing address
1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110-3844
(619) 275-0822

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
145616
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3704
CA
Enumeration date
03/22/2019
Last updated
03/20/2024
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