Individual
ANDRE JIZMEJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 VON KARMAN AVE STE 330, NEWPORT BEACH, CA 92660-8136
(949) 395-8246
Mailing address
4701 VON KARMAN AVE STE 330, NEWPORT BEACH, CA 92660-8136
(949) 395-8246
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
137901
CA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
137901
CA
Other
Enumeration date
08/18/2019
Last updated
10/31/2023
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