Individual
AGAVNI TERZYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 E SANTA ANITA AVE, BURBANK, CA 91501-1509
(818) 237-7107
Mailing address
10526 DUBNOFF WAY, NORTH HOLLYWOOD, CA 91606-3921
(818) 755-4950
(818) 752-0783
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
156687
CA
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
03/30/2021
Last updated
03/19/2026
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