Provider Demographics
NPI:1780745463
Name:SHARIFKASHANI, PARICHEHR (MA,LPC,LRC)
Entity type:Individual
Prefix:MS
First Name:PARICHEHR
Middle Name:
Last Name:SHARIFKASHANI
Suffix:
Gender:F
Credentials:MA,LPC,LRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 ARAPAHO TRL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2258
Mailing Address - Country:US
Mailing Address - Phone:201-847-0273
Mailing Address - Fax:
Practice Address - Street 1:962 ARAPAHO TRL
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2258
Practice Address - Country:US
Practice Address - Phone:201-847-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00106200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional