| Jaklin Yasaman Licensed Marriage And Family Therapy Corporation | |
|
7869 Shadyspring Dr Burbank CA 91504-1040 | |
| (818) 649-4463 | |
| Not Available |
| Full Name | Jaklin Yasaman Licensed Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 7869 Shadyspring Dr, Burbank, California |
| Authorized Official Name and Position | Jaklin Yasaman (THERAPIST) |
| Authorized Official Contact | 8186494463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaklin Yasaman Licensed Marriage And Family Therapy Corporation 7869 Shadyspring Dr Burbank CA 91504-1040 Ph: (818) 649-4463 | Jaklin Yasaman Licensed Marriage And Family Therapy Corporation 7869 Shadyspring Dr Burbank CA 91504-1040 Ph: (818) 649-4463 |
| NPI Number | 1972129880 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Medicare PECOS PAC ID | 9335583525 |
|---|---|
| Medicare Enrollment ID | O20240215001822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972129880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jaklin Yasaman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598137614 PECOS PAC ID: 0244674430 Enrollment ID: I20240215001889 |
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