person
Elham Ellie Mandavi Berenji
Addiction (Substance Use Disorder) Counselor in Georgetown, Texas
NPI 1912501941

Elham Ellie Mandavi Berenji is an Addiction (Substance Use Disorder) Counselor based in Georgetown, TX and is specialized in Addiction (Substance Use Disorder). Elham Ellie Mandavi Berenji practices in Georgetown, TX. The NPI Number for Elham Ellie Mandavi Berenji is 1912501941 and holds a License No. 82942 (Texas).

The current practice location address for Elham Ellie Mandavi Berenji is 121 Brunnen Way, Georgetown, TX and can be reached out via phone at 210-717-6155.

Location: 121 Brunnen Way, Georgetown, TX, 78626-2620
person
Provider Profile Details
NPI Number
1912501941
Provider Name
Elham Ellie Mandavi Berenji
Credential
Provider Entity Type
Individual
Gender
Female
Address
121 Brunnen Way, Georgetown, TX, 78626-2620
Phone Number
210-717-6155
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 Brunnen Way
City
State
Zip
78626-2620
Phone Number
210-717-6155
Fax Number
person
Provider Business Mailing Address Details
Address
121 Brunnen Way
City
State
Zip
78626-2620
Phone Number
210-717-6155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15161 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
82942 (Texas)
Definition
Definition to come...
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