Individual
AZADEH TAEFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PPS, CWA
Contact information
Practice address
1697 VIA ALEGRE, SAN DIMAS, CA 91773-4222
(779) 429-2334
Mailing address
1697 VIA ALEGRE, SAN DIMAS, CA 91773-4222
(779) 429-2334
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
102X00000X
Poetry Therapist
—
—
Other
Enumeration date
03/06/2015
Last updated
06/06/2025
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