Maryam Boroujerdi-Rad
Counselor, Mental Health in Irvine, CA. Individual provider (NPI-1).
NPI number1891986329
StatusActive
Last updated in NPPESAug 8, 2007
Details
- NPI
- 1891986329
- Entity type
- Individual (NPI-1)
- Name
- Miss Maryam Boroujerdi-Rad
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2007
- Last updated
- Aug 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
22 FoxcrestIrvine, CA 92620-1290
Phone 714-730-0623
Mailing address
22 FoxcrestIrvine, CA 92620-1290
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