Samira Mandegary is a Counselor based in Santa Ana, CA. Samira Mandegary practices in Santa Ana, CA. The NPI Number for Samira Mandegary is 1710275466 and holds a License No. (California).
The current practice location address for Samira Mandegary is 1615 E 17Th St, Santa Ana, CA and can be reached out via phone at 714-640-9588.
Location: 1615 E 17Th St, Santa Ana, CA, 92705-8529
Provider Profile Details
NPI Number
1710275466
Provider Name
Samira Mandegary
Credential
Provider Entity Type
Individual
Gender
Female
Address
1615 E 17Th St, Santa Ana, CA, 92705-8529
Phone Number
714-640-9588
Fax Number
Provider Enumeration Date
07/15/2011
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07112011384331 | 01 | CA | MEDI-CAL |
Provider Business Practice Location Address Details
Address
1615 E 17Th St
City
State
Zip
92705-8529
Phone Number
714-640-9588
Fax Number
Provider Business Mailing Address Details
Address
1615 E 17Th St
City
State
Zip
92705-8529
Phone Number
714-640-9588
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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