Individual
MARYAM MIRAHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
(541) 834-9068
Mailing address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
(541) 834-9068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
C10469
OR
Other
Enumeration date
06/21/2023
Last updated
07/16/2026
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