Organization
A.D. INDIVIDUAL MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI DATASTANYAN LMFT (OWNER)
(661) 524-9938
Entity
Organization
Contact information
Practice address
15233 VENTURA BLVD STE 1125, SHERMAN OAKS, CA 91403-2246
(661) 524-9938
(661) 524-9950
Mailing address
7300 WHITE OAK AVE, VAN NUYS, CA 91406-2347
(661) 524-9938
(661) 524-9950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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