Provider Demographics
NPI:1073225215
Name:ZARRABIAN, AFSOUN
Entity Type:Individual
Prefix:
First Name:AFSOUN
Middle Name:
Last Name:ZARRABIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5736 LAS VIRGENES RD APT 107
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2657
Mailing Address - Country:US
Mailing Address - Phone:818-661-9859
Mailing Address - Fax:
Practice Address - Street 1:5736 LAS VIRGENES RD APT 107
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2657
Practice Address - Country:US
Practice Address - Phone:818-661-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA136284106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist