Individual provider · Type 1 NPI

Bahman Dadgostar

Mental Health Counselor · San Bernardino, CA

NPI number 1720124779 Active

Practice location

700 E Gilbert St, Cottage 4 Access
San Bernardino, CA 92415-1003

Call (909) 381-2420 Map

Fax (909) 386-0770

Mailing address

11171 Oakwood Dr, # E-105
Loma Linda, CA 92354-4802

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720124779

Bahman Dadgostar's National Provider Identifier is 1720124779, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 8, 2007.