Basim Abraham Farah, MACLINICALPSY
Basim Abraham Farah, MACLINICALPSY is a Student in an Organized Health Care Education/Training Program in Sebastopol, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 3
Practice location Address checks out
1800 Gravenstein Hwy NSebastopol, CA 95472-2607
Phone: (707) 634-9055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Counselor (primary) | Taxonomy 225C00000X · Licence PSB 94022610 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Psychologist | Taxonomy 103T00000X · Licence PSB94022610 (CA) |
Record details
| NPI number | 1154685907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MACLINICALPSY |
| Sole proprietor | No |
| NPI enumerated | June 26, 2012 |
| Last updated in NPPES | August 10, 2016 |
| Mailing address | 2631 Wild Bill Way, Santa Rosa, CA 95407-4561 |
Other providers in Sebastopol
-
Mary Catherine Candelario, ASW
438 Eddie Ln, Sebastopol, CA 95472-3425 · (707) 823-8722
-
Dr. Cecille M Gannon, PSYD
874 Gravenstein Ave Ste 2, Sebastopol, CA 95472-4555 · (707) 326-6609
-
Waide Hicks Gonzales, PA-C
4352 Daywalt Rd, Sebastopol, CA 95472-6011 · (408) 504-4051
-
Taylor Marie Heissenbuttel
1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 · (707) 823-7300
-
Miguel Ibarra
438 Eddie Ln, Sebastopol, CA 95472-3425 · (707) 823-8722