Healthcare Provider Details

I. General information

NPI: 1134805328
Provider Name (Legal Business Name): ANDRANIK TERZYAN LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 N BRAND BLVD STE 303
GLENDALE CA
91203-4621
US

IV. Provider business mailing address

17167 BRAXTON ST
GRANADA HILLS CA
91344-1513
US

V. Phone/Fax

Practice location:
  • Phone: 818-271-8824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number21598
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: