Individual
AZADEH KHAMOOSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
17702 SIERRA HWY, SANTA CLARITA, CA 91351-1635
(888) 770-5222
Mailing address
4445 EASTGATE MALL # 2073, SAN DIEGO, CA 92121-1979
(619) 212-0856
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103T00000X
Psychologist
Primary
94028153
CA
Other
Enumeration date
06/01/2022
Last updated
07/28/2026
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