Individual
DEBORA RUTH MAZAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3445 W MEMORIAL RD STE I, OKLAHOMA CITY, OK 73134-7001
(405) 748-6292
(405) 748-6292
Mailing address
PO BOX 720360, OKLAHOMA CITY, OK 73172-0360
(405) 748-6292
(405) 748-6293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104
OK
101YP2500X
Professional Counselor
804
OK
106H00000X
Marriage & Family Therapist
653
OK
Other
Enumeration date
06/07/2007
Last updated
06/06/2008
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