Individual
MARYAM GOUDARZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 E VALLEY AUTO DR STE 101, MESA, AZ 85206-4607
(310) 853-2939
Mailing address
19231 SHERMAN WAY UNIT 16, RESEDA, CA 91335-3536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
08/21/2023
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