| A.d. Individual Marriage And Family Therapy | |
|
15233 Ventura Blvd Ste 1125 Sherman Oaks CA 91403-2246 | |
| (661) 524-9938 | |
| (661) 524-9950 |
| Full Name | A.d. Individual Marriage And Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15233 Ventura Blvd Ste 1125, Sherman Oaks, California |
| Authorized Official Name and Position | Ani Datastanyan (OWNER) |
| Authorized Official Contact | 6615249938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.d. Individual Marriage And Family Therapy 7300 White Oak Ave Van Nuys CA 91406-2347 Ph: (661) 524-9938 | A.d. Individual Marriage And Family Therapy 15233 Ventura Blvd Ste 1125 Sherman Oaks CA 91403-2246 Ph: (661) 524-9938 |
| NPI Number | 1396502951 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396502951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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