Provider Demographics
NPI:1073968954
Name:GHAHREMANI, ARLENE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:GHAHREMANI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FERRARA CT APT 307
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-0966
Mailing Address - Country:US
Mailing Address - Phone:818-795-4980
Mailing Address - Fax:
Practice Address - Street 1:3849 CHATWIN AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2004
Practice Address - Country:US
Practice Address - Phone:800-994-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121594106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist