Individual
ANAHIT NERSESYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14418 CHASE ST STE 200, PANORAMA CITY, CA 91402-3022
(818) 830-9500
Mailing address
415 E DRYDEN ST APT 104, GLENDALE, CA 91207-2251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6960
PROVIDER NUMBER
CA
Enumeration date
05/02/2007
Last updated
07/08/2007
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