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Iman Moridi
Mental Health Counselor in San Jose, California
NPI 1225279821

Iman Moridi is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Iman Moridi practices in San Jose, CA. The NPI Number for Iman Moridi is 1225279821 and holds a License No. (California).

The current practice location address for Iman Moridi is 2001 The Alameda, San Jose, CA and can be reached out via phone at 408-261-7777.

Location: 2001 The Alameda, San Jose, CA, 95130-1035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225279821
Provider Name
Iman Moridi
Credential
Provider Entity Type
Individual
Gender
Male
Address
2001 The Alameda, San Jose, CA, 95130-1035
Phone Number
408-261-7777
Fax Number
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11221047 01 CA MEDICAL RECORD NO.
institution
Provider Business Practice Location Address Details
Address
2001 The Alameda
City
San Jose
State
California
Zip
95126-1136
Phone Number
408-261-7777
Fax Number
person
Provider Business Mailing Address Details
Address
2001 The Alameda
City
San Jose
State
California
Zip
95126-1136
Phone Number
408-261-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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