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Tandis Kaye Pourbastani
Mental Health Counselor in San Andreas, California
NPI 1598356586

Tandis Kaye Pourbastani is a Mental Health Counselor based in San Andreas, CA and is specialized in Mental Health. Tandis Kaye Pourbastani practices in San Andreas, CA. The NPI Number for Tandis Kaye Pourbastani is 1598356586 and holds a License No. 103662 (California).

The current practice location address for Tandis Kaye Pourbastani is 564 Mountain Ranch Rd, San Andreas, CA and can be reached out via phone at 209-498-2227.

Location: 564 Mountain Ranch Rd, San Andreas, CA, 95249-9782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598356586
Provider Name
Tandis Kaye Pourbastani
Credential
Provider Entity Type
Individual
Gender
Female
Address
564 Mountain Ranch Rd, San Andreas, CA, 95249-9782
Phone Number
209-498-2227
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
564 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9782
Phone Number
209-498-2227
Fax Number
person
Provider Business Mailing Address Details
Address
564 Mountain Ranch Rd
City
San Andreas
State
California
Zip
95249-9782
Phone Number
209-498-2227
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
103662 (California)
Definition
Definition to come...
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