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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BASIM ABRAHAM FARAH, MA CLINICAL PSY

Active

BASIM ABRAHAM FARAH, MA CLINICAL PSY is a Rehabilitation Counselor healthcare provider located in SEBASTOPOL, California. NPI 1154685907 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Counselor · SEBASTOPOL, CA

Registration Details

NPI Number
1154685907
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2012 (14.129759901868 yrs)
Last Updated
Aug 10, 2016
Licenses
PSB94022610 (CA)
PSB 94022610 (CA)

Practice Information

Address
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA, 954722607
Browse CA providers · Browse ZIP 95472
Phone
7076349055
Primary Specialty
Rehabilitation Counselor
225C00000X
Additional Specialty
Psychologist
Additional Specialty
Rehabilitation Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.