Individual
ANNA HAROUN MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 DALEVILLE HWY STE 106, COVINGTON TWP, PA 18444-7951
(570) 904-7363
(570) 348-4079
Mailing address
228 S MAIN AVE, SCRANTON, PA 18504-2545
(570) 904-7363
(570) 348-4079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011018
PA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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