Individual
MR. SIAVASH BAHREINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC, LCADC
Contact information
Practice address
1387 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021-2760
(856) 454-3104
(856) 741-1611
Mailing address
1387 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021-2760
(856) 454-3104
(856) 741-1611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
017080
NY
101YP2500X
Professional Counselor
Primary
37PC00643400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
NJ
Enumeration date
01/04/2022
Last updated
12/29/2025
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