Provider Demographics
NPI:1225186513
Name:HASHEMI, SEYYEDEH FATEMEH (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SEYYEDEH
Middle Name:FATEMEH
Last Name:HASHEMI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:FATEMEH
Other - Middle Name:
Other - Last Name:HASHEMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-0912
Mailing Address - Country:US
Mailing Address - Phone:949-232-4424
Mailing Address - Fax:949-262-3299
Practice Address - Street 1:265 S RANDOLPH AVE STE 250
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5701
Practice Address - Country:US
Practice Address - Phone:657-243-2248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52787106H00000X
101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health