Provider Demographics
NPI:1033989538
Name:IRMAS, ANN K (LMFT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:K
Last Name:IRMAS
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 1:17417 RANCHO ST
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3948
Mailing Address - Country:US
Mailing Address - Phone:818-383-5507
Mailing Address - Fax:
Practice Address - Street 1:17417 RANCHO ST
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3948
Practice Address - Country:US
Practice Address - Phone:818-383-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121428106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist