Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1215452933 |
---|---|
Provider Name | Armine Amy Kechedjian |
First Address | Van Nuys, CA 91405-2289 |
Second Address | Van Nuys, CA 91405-2289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2017 |
Last Update Date | 03/08/2017 |