Individual
BAHARAK FARZANMEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 AVENUE OF THE ARTS, COSTA MESA, CA 92626-1927
(171) 436-5689
Mailing address
3400 AVENUE OF THE ARTS, COSTA MESA, CA 92626-1927
(171) 436-5689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130156
CA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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