| Audrey Sophia Jarahzadeh, Licensed Clinical Social Worker, P.c | |
|
1901 1st Ave Ste 104 San Diego CA 92101-0300 | |
| (310) 770-2431 | |
| Not Available |
| Full Name | Audrey Sophia Jarahzadeh, Licensed Clinical Social Worker, P.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1901 1st Ave Ste 104, San Diego, California |
| Authorized Official Name and Position | Audrey Jarahzadeh (DIRECTOR) |
| Authorized Official Contact | 3107702431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Sophia Jarahzadeh, Licensed Clinical Social Worker, P.c 9740 Campo Rd Ste 1015 Spring Valley CA 91977-1415 Ph: (310) 770-2431 | Audrey Sophia Jarahzadeh, Licensed Clinical Social Worker, P.c 1901 1st Ave Ste 104 San Diego CA 92101-0300 Ph: (310) 770-2431 |
| NPI Number | 1508506072 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508506072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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