Kristine Arakelian
Individual provider Active NPI Marriage & Family Therapist · Pacoima, CA
NPI 1497213201 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1497213201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 106390 (CA)
- Practice address
- 12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393 - Phone
- (818) 896-1161
- Fax
- (818) 896-5069
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106390 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 106390 | CA | Yes |
Addresses
Primary practice location
12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Mailing address
12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Phone (818) 896-1161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6758 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
Other providers in Pacoima, CA
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- Maya Anderson
- Tracy Ann Anderson
- Heather Ann Andrade
- Perla Andrade
- Luz Maria Arellano Ponciano
- Enrique Adolfo Argueta
- Arise Congregate Living, Inc
- Yanir Arman
- Arnulfo Molina Professional Dental Corporation
All providers in Pacoima, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.