MEDICARE: ARLENE GHAHREMANI M.A., LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	121594	CA

General Provider Information

NPI Number	:	1073968954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE GHAHREMANI M.A., LMFT

Provider Business Mailing Address
First Line	:	400 FERRARA CT APT 307
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-0966
Country	:	US
Telephone Number	:	818-795-4980
Fax Number	:

Provider Business Practice Location Address
First Line	:	3849 CHATWIN AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2004
Country	:	US
Telephone Number	:	800-994-2184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	08/13/2021

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