Individual
ADAM JELLOIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2660 TOWNSGATE RD STE 610, WESTLAKE VILLAGE, CA 91361-5709
(818) 584-1442
Mailing address
12133 SHADOW RIDGE WAY, PORTER RANCH, CA 91326-3826
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
130755
CA
Other
Enumeration date
01/25/2022
Last updated
03/08/2024
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