Manasa Mahadevan

NPI #1053168294 in Fairfield, California

Provider Information

NPI Number: 1053168294
Entity Type: Individual
Name: Manasa Mahadevan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 6, 2024
Last Updated: May 6, 2024

Practice Location

Address: 4820 BUSINESS CENTER DR STE 110
City: Fairfield
State: California
ZIP Code: 94534-1907
Phone: (707) 703-5075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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