Provider Demographics
NPI:1972164390
Name:KAREN COHEN MARRIAGE FAMILY THERAPIST INC.
Entity type:Organization
Organization Name:KAREN COHEN MARRIAGE FAMILY THERAPIST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MARRIAGE FAMILY THER
Authorized Official - Phone:818-400-1001
Mailing Address - Street 1:450 N BRAND BLVD FL 6
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2349
Mailing Address - Country:US
Mailing Address - Phone:818-400-1001
Mailing Address - Fax:
Practice Address - Street 1:450 N BRAND BLVD FL 6
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2349
Practice Address - Country:US
Practice Address - Phone:818-400-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty