Individual
MEHRANDOKHT JAVIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(510) 566-2147
Mailing address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(510) 566-2147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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