Provider Demographics
NPI:1972276251
Name:TOKMAN, YELENA (LMFT)
Entity type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:TOKMAN
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 1:3880 FREDONIA DR APT F
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1247
Mailing Address - Country:US
Mailing Address - Phone:323-459-5569
Mailing Address - Fax:
Practice Address - Street 1:822 S ROBERTSON BLVD STE 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1632
Practice Address - Country:US
Practice Address - Phone:310-289-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-31
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT122300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist