Individual
AZITA AGAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT MASTERS
Contact information
Practice address
1200 N MAIN ST STE 500, SANTA ANA, CA 92701-3632
(714) 480-6600
Mailing address
146 CLEARBROOK, IRVINE, CA 92614-7586
(951) 237-7989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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