Individual
MRS. AILEEN MASOMIAN REZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2501 W WILLIAM CANNON DR, AUSTIN, TX 78745-5281
(512) 344-9181
(512) 344-9135
Mailing address
7617 SENECA FALLS LOOP, AUSTIN, TX 78739-2219
(512) 922-8044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71532
TX
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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