Individual
MS. ANISSA NATALIA MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.C.
Contact information
Practice address
335 BUCKEYE BLVD, PORT CLINTON, OH 43452-1423
(419) 734-2942
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1400580
OH
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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