Provider Demographics
NPI:1053846402
Name:GIATTINA, JILLA OURIAN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JILLA
Middle Name:OURIAN
Last Name:GIATTINA
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:PO BOX 5912
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5912
Mailing Address - Country:US
Mailing Address - Phone:310-988-8398
Mailing Address - Fax:
Practice Address - Street 1:10921 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 1101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-988-8398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35170106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist