Ani Datastanyan
Marriage & Family Therapist in Glendale, CA. Individual provider (NPI-1).
NPI number1194192575
StatusActive
Last updated in NPPESMar 13, 2017
Details
- NPI
- 1194192575
- Entity type
- Individual (NPI-1)
- Name
- Ani Datastanyan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2015
- Last updated
- Mar 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 93455 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 93455 | CA |
Practice location
1540 E Colorado StGlendale, CA 91205-1514
Phone 818-244-7257 · Fax 818-243-5431
Mailing address
4760 Sepulveda BlvdCulver City, CA 90230-4820
Phone 310-390-6612 · Fax 310-398-5690
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All 319 Marriage & Family Therapist providers in Glendale · All 8,236 providers in Glendale
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