# ADELINA MEHRAZARIN BRISBOIS LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386026250
- **Authorized official:** MRS. ADELINA MEHRAZARIN BRISBOIS (MARRIAGE AND FAMILY THERPIST)
- **Authorized official phone:** (213) 290-5412

## Contact information

- **Practice address:** 18757 BURBANK BLVD STE 125, TARZANA, CA 91356-3345
- **Practice address phone:** (213) 290-5412
- **Mailing address:** 4607 LAKEVIEW CANYON RD \# 407, WESTLAKE VILLAGE, CA 91361-4028
- **Mailing address phone:** (213) 290-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 52767 | CA | Yes |

## Other

- **Enumeration date:** 06/26/2015
- **Last updated:** 06/26/2015