Basim Abraham Farah, MA CLINICAL PSY

NPI #1154685907 in Sebastopol, California

Provider Information

NPI Number: 1154685907
Entity Type: Individual
Name: Basim Abraham Farah, MA CLINICAL PSY
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Counselor
Credential: MA CLINICAL PSY
Enumeration Date: Jun 26, 2012
Last Updated: Aug 10, 2016

Practice Location

Address: 1800 GRAVENSTEIN HWY N
City: Sebastopol
State: California
ZIP Code: 95472-2607
Phone: (707) 634-9055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist	103T00000X
Rehabilitation Counselor	225C00000X	Primary

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