Individual
ANI KIRAKOSYAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
225 E BROADWAY STE 301A, GLENDALE, CA 91205-1008
(818) 612-5588
Mailing address
225 E BROADWAY STE 301A, GLENDALE, CA 91205-1008
(818) 612-5588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100264
CA
106H00000X
Marriage & Family Therapist
100264
CA
Other
Enumeration date
01/25/2023
Last updated
03/03/2023
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