Individual
HODA TABATABAEI-MOGHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7202 NE HIGHWAY 99 STE 106-4392, VANCOUVER, WA 98665-8932
(253) 501-6019
Mailing address
7202 NE HIGHWAY 99 STE 106-4392, VANCOUVER, WA 98665-8932
(253) 501-6019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
60996653
WA
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
60996653
WA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/12/2015
Last updated
01/11/2024
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