Individual
MS. ANNAHITA MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMFT
Contact information
Practice address
1200 N MAIN ST, SUIT 100B, SANTA ANA, CA 92701-3640
(714) 517-6147
Mailing address
9 DOGWOOD S, IRVINE, CA 92612-2324
(949) 246-7557
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
64303
CA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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