Individual
ANNA TATISHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 VAN NUYS BLVD STE 201, SHERMAN OAKS, CA 91403-1700
(818) 985-0560
Mailing address
4940 VAN NUYS BLVD STE 201, SHERMAN OAKS, CA 91403-1700
(818) 985-0560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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