Individual
MAHVASH AZADEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16940 SW KATTEGAT DR, BEAVERTON, OR 97006-8953
(310) 850-9449
Mailing address
16940 SW KATTEGAT DR, BEAVERTON, OR 97006-8953
(310) 850-9449
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
41192
CA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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