Provider Demographics
NPI:1013200559
Name:HAMEDANI-CHADORCHI, MAHSA (LMFT)
Entity Type:Individual
Prefix:
First Name:MAHSA
Middle Name:
Last Name:HAMEDANI-CHADORCHI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 SEDAN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-3217
Mailing Address - Country:US
Mailing Address - Phone:818-535-0426
Mailing Address - Fax:
Practice Address - Street 1:8352 SEDAN AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3217
Practice Address - Country:US
Practice Address - Phone:818-535-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52564106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist