Individual
MRS. AIMEE OTERO MAHJOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3993 W STATE ROAD 46, SANFORD, FL 32771-9726
(407) 878-4478
Mailing address
PO BOX 578, GOLDENROD, FL 32733-0578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17793
FL
106H00000X
Marriage & Family Therapist
IMT2846
FL
Other
Enumeration date
01/24/2018
Last updated
05/13/2020
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