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Organization
A.D. INDIVIDUAL MARRIAGE AND FAMILY THERAPY
Active
Organization
A.D. INDIVIDUAL MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI DATASTANYAN LMFT (OWNER)
(661) 524-9938
Entity
Organization
Contact information
Practice address
15233 VENTURA BLVD STE 1125, SHERMAN OAKS, CA 91403-2246
(661) 524-9938
(661) 524-9950
Mailing address
7300 WHITE OAK AVE, VAN NUYS, CA 91406-2347
(661) 524-9938
(661) 524-9950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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