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1659946275
KIAVASH EBADAT
PALM SPRINGS, CA
NPI
1659946275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 125966)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
Mr. KIAVASH EBADAT MS
3001 E TAHQUITZ CANYON WAY
PALM SPRINGS, CA 92262-6982
Phone number: 408-799-7893
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Mailing Address
Mr. KIAVASH EBADAT MS
39485 REGENCY WAY
PALM DESERT, CA 92211-7109
Phone number: 408-799-7893
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