Elham Ellie Mandavi Berenji
NPI #1912501941 in Georgetown, Texas
Provider Information
- NPI Number
- 1912501941
- Entity Type
- Individual
- Name
- Elham Ellie Mandavi Berenji
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 30, 2020
- Last Updated
- Nov 30, 2020
Practice Location
- Address
- 121 BRUNNEN WAY
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-2620
- Phone
- (210) 717-6155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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