MEDICARE: NATASHA R TOUBIAN 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	101YM0800X	Mental Health Counselor	113042	CA

General Provider Information

NPI Number	:	1922794874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA R TOUBIAN LMFT

Provider Business Mailing Address
First Line	:	467 ARNAZ DR APT 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3950
Country	:	US
Telephone Number	:	310-729-8288
Fax Number	:

Provider Business Practice Location Address
First Line	:	467 ARNAZ DR APT 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3950
Country	:	US
Telephone Number	:	310-729-8288
Fax Number	:

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

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

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