MEDICARE: MS. YASAMAN NAFISI PARSI LPC

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	101YP2500X	Professional Counselor	14233	AZ

General Provider Information

NPI Number	:	1659830214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YASAMAN NAFISI PARSI LPC

Provider Business Mailing Address
First Line	:	6900 E PRINCESS DR UNIT 1214
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85054-4110
Country	:	US
Telephone Number	:	480-216-5007
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 E PRINCESS DR UNIT 1214
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85054-4110
Country	:	US
Telephone Number	:	480-216-5007
Fax Number	:

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

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	03/13/2019

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