MR. Edward Halomoan Siahaan, MS, MBA, MFT INTERN
NPI #1679750947 in Moreno Valley, California
Provider Information
- NPI Number
- 1679750947
- Entity Type
- Individual
- Name
- MR. Edward Halomoan Siahaan, MS, MBA, MFT INTERN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS, MBA, MFT INTERN
- Enumeration Date
- Jan 29, 2008
- Last Updated
- Jan 29, 2008
Practice Location
- Address
- 22899 CATTAIL LN
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92557-6013
- Phone
- (909) 553-1481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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