Provider Demographics
NPI:1144572884
Name:KHALA HOVSEPIAN, HELEN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:KHALA HOVSEPIAN
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 1:411 N. CENTRAL AVE.
Mailing Address - Street 2:ST 600
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203
Mailing Address - Country:US
Mailing Address - Phone:310-922-0988
Mailing Address - Fax:818-502-0508
Practice Address - Street 1:9911 W. PICO BLVD.
Practice Address - Street 2:ST 1480
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:310-922-0988
Practice Address - Fax:818-502-0508
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC-49793106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist