Individual provider · Type 1 NPI
Debora Ruth Mazaheri, MS
Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK
NPI number
1215130141
Active
Practice location
3445 W Memorial Rd Ste I
Oklahoma City, OK 73134-7001
Fax (405) 748-6292
Mailing address
PO Box 720360
Oklahoma City, OK 73172-0360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 104 (OK) |
| Professional Counselor | 101YP2500X | 804 (OK) |
| Marriage & Family Therapist | 106H00000X | 653 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215130141
Debora Ruth Mazaheri, MS's National Provider Identifier is 1215130141, issued on Jun 7, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 6, 2008.