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Individual
DR. MOHAMMAD MEHDI MOMTAHAN
Active
Individual
DR. MOHAMMAD MEHDI MOMTAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NCC 210724
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0040
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCODP-D 0004
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICAADC 202225
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC 12619
IN
101YM0800X
Mental Health Counselor
ACS 00557
GA
101YP2500X
Professional Counselor
Primary
LPC004345
GA
174400000X
Specialist
BDFC 12619
IN
174400000X
Specialist
CFAS 12619
IN
Other
Enumeration date
04/17/2009
Last updated
01/05/2015
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