Individual provider · Type 1 NPI

Shadi Ebrahim, LMFT

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1932995628 Active

Practice location

9065 Haven Ave Ste 110
Rancho Cucamonga, CA 91730-5429

Call (909) 757-5770 Map

Mailing address

1323 E Riverside Dr
Ontario, CA 91761-7052

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X163334 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1932995628

Shadi Ebrahim, LMFT's National Provider Identifier is 1932995628, issued on Apr 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 2, 2026.