Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edward Halomoan Siahaan, MS, MBA, MFTINTERN

Individual provider Mental Health Counselor · NPI 1679750947

Mr. Edward Halomoan Siahaan, MS, MBA, MFTINTERN is a Mental Health Counselor in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

22899 Cattail Ln
Moreno Valley, CA 92557-6013
Phone: (909) 553-1481
Fax: (951) 924-7226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMF 50143 (CA)

Record details

NPI number1679750947
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , MBA , MFTINTERN
Sole proprietorYes
NPI enumeratedJanuary 29, 2008
Last updated in NPPESJanuary 29, 2008

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