Individual
AZADEH AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W 10TH ST, AUSTIN, TX 78703-3907
(512) 472-4357
Mailing address
3477 LAKE AUSTIN BLVD APT C, AUSTIN, TX 78703-5560
(240) 708-9508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83106
TX
Other
Enumeration date
10/27/2019
Last updated
11/17/2019
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