Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roxanna-Elitisia Alizadeh-Azardoust

Individual provider Mental Health Counselor · NPI 1104420736

Roxanna-Elitisia Alizadeh-Azardoust is a Mental Health Counselor in San Jose, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone: (408) 938-2113
Fax: (408) 579-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 718329 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1104420736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2020
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

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