Nezhla B. Momayezi - Professional Counselor in Silver Spring, Maryland | ProviderWire

Full Name

Nezhla Bozorgmand Momayezi

NPI Number

1710611389

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/11/2022

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC12438

Contact
Information

Purpose

Mailing

Location

Address

15107 INTERLACHEN DR # 2-703

TELEHEALTH

City

Silver Spring

Silver Spring

State

MD

MD

Postal Code

20906-5625

20906-2090

Country

US

US

Telephone Number

(410) 978-0001

(410) 978-0001

Identifiers

Identifier

UNKNOWN

UNKNOWN

Identifier State

MD

Unknown

Identifier Issuer

UNKNOWN

UNKNOWN

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

unknown

Endpoint Description

email

Use

Direct

Content Type

Other

Other Description:
unknown

Affiliation

N

Endpoint Location

15107 Interlachen Dr # 2-703Silver Spring, MD209065625US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/11/2022

Provider Address

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