Provider Demographics
NPI:1154573707
Name:ARTINIAN, KYVELE RHEA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KYVELE
Middle Name:RHEA
Last Name:ARTINIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8660 LOS LAGOS CIR S
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-5805
Mailing Address - Country:US
Mailing Address - Phone:916-410-8552
Mailing Address - Fax:
Practice Address - Street 1:6520 LONETREE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:916-410-8552
Practice Address - Fax:916-771-0200
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist