Most Relevant Information
Provider Data
| NPI Number: | 1003007147 |
| Provider Name: | DARYUSH PARVINBENAM PCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | E.0004156-SUPV |
Most Important Dates
| Enumeration Date: | 08/05/2007 |
| Last Updated: | 05/23/2019 |
Provider Practice Location
287 W JOHNSTOWN RD
COLUMBUS
OH
432302732
Practice Location Phone/Fax
| Phone: | 6143055102 |
| Fax: | 6143837786 |
Provider Mailing Location
287 W JOHNSTOWN RD
COLUMBUS
OH
432302732
Provider Mailing Phone/Fax
| Phone: | 6143055102 |
| Fax: | 6143837786 |