Provider Demographics
NPI:1720809023
Name:NALBANDYAN, KARINE (AMFT)
Entity type:Individual
Prefix:MS
First Name:KARINE
Middle Name:
Last Name:NALBANDYAN
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 N CENTRAL AVE STE 621
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2506
Mailing Address - Country:US
Mailing Address - Phone:818-925-2410
Mailing Address - Fax:818-925-2411
Practice Address - Street 1:1146 N CENTRAL AVE STE 621
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2506
Practice Address - Country:US
Practice Address - Phone:818-925-2410
Practice Address - Fax:818-925-2411
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA149641106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist