Individual
BAHAREH MAHDAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5228 VILLAGE CREEK DR STE 100, PLANO, TX 75093-4430
(972) 913-4738
Mailing address
5723 HUMMINGBIRD LN, FAIRVIEW, TX 75069-6843
(972) 913-4738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
96233
TX
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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