Organization
PEAK BRAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM GOUDARZI LMFT (CEO)
(310) 853-2939
Entity
Organization
Contact information
Practice address
4111 E VALLEY AUTO DRIVE, SUITE 101, RM9, MESA, AZ 85206
(480) 788-7254
Mailing address
4111 E VALLEY AUTO DRIVE, SUITE 101, RM9, MESA, AZ 85206
(480) 788-7254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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