Provider Demographics
NPI:1285001735
Name:GHAHRAMANI, PARINAZ (LMFT)
Entity Type:Individual
Prefix:
First Name:PARINAZ
Middle Name:
Last Name:GHAHRAMANI
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:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-0562
Mailing Address - Country:US
Mailing Address - Phone:760-519-0972
Mailing Address - Fax:
Practice Address - Street 1:143 S CEDROS AVE
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1970
Practice Address - Country:US
Practice Address - Phone:760-519-0972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT MFT20527101YM0800X, 106H00000X
CAMFT 20527174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174H00000XOther Service ProvidersHealth Educator