Individual
MS. ANNA AVETISYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6606 HAZELTINE AVE, APT 103, VAN NUYS, CA 91405-5352
(818) 808-6833
Mailing address
6606 HAZELTINE AVE, APT 103, VAN NUYS, CA 91405-5352
(818) 808-6833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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