Individual
DARYA SHAHBAZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 ULTRA DR, HENDERSON, NV 89074-8339
(703) 477-0930
Mailing address
203 ULTRA DR, HENDERSON, NV 89074-8339
(703) 477-0930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90108
NC
Other
Enumeration date
10/30/2017
Last updated
11/18/2019
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