Individual
AHOU VAZIRI LINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
6803 HILLCREST AVE, DALLAS, TX 75205-1308
(214) 232-2776
Mailing address
6803 HILLCREST AVE, DALLAS, TX 75205-1308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79794
TX
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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