Individual
DAMON POURTAHMASEB-SASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
761 NE 199TH ST APT 204, MIAMI, FL 33179-3067
(786) 271-4868
Mailing address
761 NE 199TH ST APT 204, MIAMI, FL 33179-3067
(786) 271-4868
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3419
FL
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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