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NPI Code Detail

MEDICARE: SEHENE KEBEDE MFTI

MEDICARE:   SEHENE  KEBEDE  MFTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorIMF 55629CA
2101Y00000XCounselor

General Provider Information

NPI Number : 1770828337
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEHENE KEBEDE MFTI
Provider Business Mailing Address
First Line : 274 1/2 S 13TH ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-2143
Country : US
Telephone Number : 408-287-7705
Fax Number :
Provider Business Practice Location Address
First Line : 274 1/2 S 13TH ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-2143
Country : US
Telephone Number : 408-287-7705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2012
Last Update Date : 12/07/2012

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Directions to “ SEHENE KEBEDE MFTI” Practice Location

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