Individual
ANI KHODAVERDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 N MARENGO AVE STE 100, PASADENA, CA 91101-4550
(626) 585-8075
Mailing address
2408 N ORCHARD DR, BURBANK, CA 91504-2207
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
153430
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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