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Individual

MS. SHIREEN A AGHDAMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, LISAC

Contact information

Practice address
3377 S PRICE RD STE 105, CHANDLER, AZ 85248-3576
(480) 725-8477
(480) 907-1233
Mailing address
4768 E WATERMAN ST UNIT 102, GILBERT, AZ 85297-2452
(480) 789-3164

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-155252
AZ
101YP2500X
Professional Counselor
Primary
LPC-21199
AZ

Other

Enumeration date
03/22/2021
Last updated
07/10/2024
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