Individual
AYESHAH MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S SAINT LOUIS BLVD STE 150, SOUTH BEND, IN 46617-3028
(574) 835-7548
Mailing address
5813 IROQUOIS LN APT 1B, MISHAWAKA, IN 46545-1238
(260) 460-7129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001788A
IN
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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