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General NPI Number Information
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NPI Number | 1871101402
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Entity Type | Organization
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Legal Business Name | HEYDAY FAMILY COUNSELING SERVICES APC INC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 1121 SAN RAFAEL AVE APT 2
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City | GLENDALE
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State | CA
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Zip | 91202-2438
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Country | US
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Telephone | 818-497-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 1146 N CENTRAL AVE STE 621
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City | GLENDALE
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State | CA
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Zip | 91202-2506
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Country | US
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Telephone | 818-497-8406
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SHUSHAN VARTANI KALANTARYAN
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Credential | LMFT, PSYD
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Telephone | 818-497-8406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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