Provider Demographics
NPI:1699803924
Name:ARAM, JESSICA RAYHANEH (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:RAYHANEH
Last Name:ARAM
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 N ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2208
Mailing Address - Country:US
Mailing Address - Phone:818-841-0440
Mailing Address - Fax:818-566-8537
Practice Address - Street 1:5300 MCCONNELL AVE.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066
Practice Address - Country:US
Practice Address - Phone:310-482-5575
Practice Address - Fax:818-566-8537
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2002380170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS