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Zahra Dashtaki
Mental Health Counselor in Fulton, Missouri
NPI 1770135451

Zahra Dashtaki is a Mental Health Counselor based in Fulton, MO and is specialized in Mental Health. Zahra Dashtaki practices in Fulton, MO. The NPI Number for Zahra Dashtaki is 1770135451 and holds a License No. 2014010843 (Missouri).

The current practice location address for Zahra Dashtaki is 509 Kleewood Dr, Fulton, MO and can be reached out via phone at 573-220-5769.

Location: 509 Kleewood Dr, Fulton, MO, 65251-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770135451
Provider Name
Zahra Dashtaki
Credential
Provider Entity Type
Individual
Gender
Female
Address
509 Kleewood Dr, Fulton, MO, 65251-2403
Phone Number
573-220-5769
Fax Number
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14500716 01 MO CQHP
institution
Provider Business Practice Location Address Details
Address
509 Kleewood Dr
City
Fulton
State
Missouri
Zip
65251-2403
Phone Number
573-220-5769
Fax Number
person
Provider Business Mailing Address Details
Address
509 Kleewood Dr
City
Fulton
State
Missouri
Zip
65251-2403
Phone Number
573-220-5769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2014010843 (Missouri)
Definition
Definition to come...
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