| Doctor Name: | MS. YASAMAN MOSTAJERAN |
| NPI Number: | 1043507635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT |
| License Number: | IMF66273 |
| Business Practice Address: | 22471 Aspan St Ste 103 Lake Forest, CA - 926301644 |
| Business Phone Number: | 9494582715 |
| Business Fax Number: | |
| Mailing Address: | 22471 Aspan St Ste 103, LAKE FOREST |
| State: | CA |
| Postal Code: | 926301644 |
| Phone Number: | 9498787882 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2011 |
| NPI Last Update Date: | 07/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF66273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |