Provider Information for 1770880304
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Dr. HASSIEM A KAMBUI LMHC, NCC
Sex: Male
NPI: 1770880304
Last Updated: 2016-02-02
Certification Date:
Certification Date:
Details
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NPI | 1770880304 | ||||||||||||
Enumeration Date | 2011-02-16 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 2202 W PENSACOLA ST APT 46 TALLAHASSEE, FL 32304-3140 United States Phone: 919-417-2640 | Fax: | ||||||||||||
Primary Practice Address | 2202 W PENSACOLA ST APT 46 TALLAHASSEE, FL 32304-3140 United States Phone: 919-417-2640 | Fax: | ||||||||||||
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