Individual provider · Type 1 NPI

Michael Reza Motamedi, RN

Mental Health Counselor · Fremont, CA

NPI number 1164579314 Active

Practice location

40965 Grimmer Blvd
Fremont, CA 94538-2846

Fax (510) 252-6533

Mailing address

44 Kingwood Rd
Oakland, CA 94619-2346

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X130743-030 (WI)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164579314

Michael Reza Motamedi, RN's National Provider Identifier is 1164579314, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, CA. The record was last updated on Feb 1, 2012.