MEDICARE: NORANIK ZADEYAN MPH, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		NM

General Provider Information

NPI Number	:	1992345904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORANIK ZADEYAN MPH, LMHC

Provider Business Mailing Address
First Line	:	338 ROSARIO HL
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1773
Country	:	US
Telephone Number	:	830-708-2369
Fax Number	:

Provider Business Practice Location Address
First Line	:	338 ROSARIO HL
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1773
Country	:	US
Telephone Number	:	646-522-7584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	06/11/2026

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