Provider Demographics
NPI:1083466676
Name:GURHAN, GARAD I (MA, AMFT)
Entity Type:Individual
Prefix:MR
First Name:GARAD
Middle Name:
Last Name:GURHAN
Suffix:I
Gender:M
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 MONTECITO AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-4554
Mailing Address - Country:US
Mailing Address - Phone:510-575-4699
Mailing Address - Fax:
Practice Address - Street 1:187 MONTECITO AVE APT 401
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-4554
Practice Address - Country:US
Practice Address - Phone:510-575-4699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT145906106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty