Individual
ANNI EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 N CENTRAL AVE, GLENDALE, CA 91203-2531
(818) 547-9544
Mailing address
237 N CENTRAL AVE, GLENDALE, CA 91203-2531
(818) 547-9544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW91027
CA
Other
Enumeration date
07/16/2014
Last updated
03/28/2022
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