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General NPI Number Information
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NPI Number | 1518484914
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Entity Type | Organization
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Legal Business Name | MH4M COUNSELING AND EDUCATION CENTER, PLLC
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12725 W INDIAN SCHOOL RD STE E101
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City | AVONDALE
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State | AZ
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Zip | 85392-9525
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Country | US
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Telephone | 623-512-4853
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Fax | 623-505-4808
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Provider Business Mailing Address
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Address Line | 12725 W INDIAN SCHOOL RD STE E101
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City | AVONDALE
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State | AZ
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Zip | 85392-9525
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Country | US
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Telephone | 623-512-4853
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Fax | 623-505-4808
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. NAFISA SEKANDARI
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Credential | PSY.D.
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Telephone | 623-512-4853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | AZ4243
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License Number State | AZ
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