IBRAHIM BASMA

SACRAMENTO, CA
NPI1205410818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11696)
Enumeration Date2021-05-10
Last Update Date2021-07-29
Business Address
IBRAHIM BASMA
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
Mailing Address
IBRAHIM BASMA
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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