Mr Edward Halomoan Siahaan, MS, MBA, MFT INTERN - Counselor in Moreno Valley, CA

Mr Edward Halomoan Siahaan, MS, MBA, MFT INTERN is a Counselor - Mental Health based in Moreno Valley, California. Mr Edward Halomoan Siahaan is licensed to practice in California (license number IMF 50143) and his current practice location is 22899 Cattail Ln, Moreno Valley, California. He can be reached at his office (for appointments etc.) via phone at (909) 553-1481.

NPI number for Mr Edward Halomoan Siahaan is 1679750947 and his current mailing address is 22899 Cattail Ln, Moreno Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679750947.

Contact Information

Mr Edward Halomoan Siahaan, MS, MBA, MFT INTERN
22899 Cattail Ln,
Moreno Valley, CA 92557-6013
(909) 553-1481
(951) 924-7226

Map and Direction


Healthcare Provider's Profile

Full NameMr Edward Halomoan Siahaan
GenderMale
SpecialityCounselor - Mental Health
Location22899 Cattail Ln, Moreno Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679750947
  • Provider Enumeration Date: 01/29/2008
  • Last Update Date: 01/29/2008

Medical Identifiers

Medical identifiers for Mr Edward Halomoan Siahaan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679750947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health IMF 50143 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edward Halomoan Siahaan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Edward Halomoan Siahaan, MS, MBA, MFT INTERN
22899 Cattail Ln,
Moreno Valley, CA 92557-6013

Ph: (909) 553-1481
Mr Edward Halomoan Siahaan, MS, MBA, MFT INTERN
22899 Cattail Ln,
Moreno Valley, CA 92557-6013

Ph: (909) 553-1481

Reviews and Comments


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