Individual
DR. ASSADOLLAH SHAFAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1333 WILLOW PASS RD # SET102, CONCORD, CA 94520-7930
(707) 648-8121
(707) 648-8129
Mailing address
1333 WILLOW PASS RD # SET102, CONCORD, CA 94520-7930
(925) 825-1795
(925) 825-7094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
02/06/2018
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