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NPI Code Detail

MEDICARE: MISS ATHENA HELEN DHAWAN M.A., LMFT

MEDICARE: MISS ATHENA HELEN DHAWAN 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1447301510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ATHENA HELEN DHAWAN M.A., LMFT
Provider Business Mailing Address
First Line : 6670 GLADE AVE
Second Line : #236
City : WOODLAND HILLS
State : CA
Zip : 91303-2541
Country : US
Telephone Number : 310-755-8326
Fax Number :
Provider Business Practice Location Address
First Line : 601 S GLENOAKS BLVD STE 200
Second Line :
City : BURBANK
State : CA
Zip : 91502-2787
Country : US
Telephone Number : 818-257-2660
Fax Number : 818-267-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 12/09/2014

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