Individual
ANITA VAZIFDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 N MARENGO AVE STE 100, PASADENA, CA 91101-4550
(626) 585-8075
Mailing address
95 N MARENGO AVE STE 100, PASADENA, CA 91101-4550
(626) 585-8075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
82869
CA
106H00000X
Marriage & Family Therapist
Primary
82869
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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