Individual provider · Type 1 NPI

Ani Datastanyan

Marriage & Family Therapist · Glendale, CA

NPI number 1194192575 Active

Practice location

1540 E Colorado St
Glendale, CA 91205-1514

Fax (818) 243-5431

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X93455 (CA)
Marriage & Family Therapist Primary 106H00000X93455 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1194192575

Ani Datastanyan's National Provider Identifier is 1194192575, issued on Sep 1, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Glendale, CA. The record was last updated on Mar 13, 2017.