Provider Demographics
NPI:1417338690
Name:SCHOR-YAKOBIAN, VANESSA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:
Last Name:SCHOR-YAKOBIAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:YAKOBIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:3601 DELLVALE PL
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4143
Mailing Address - Country:US
Mailing Address - Phone:818-943-5497
Mailing Address - Fax:
Practice Address - Street 1:674 COUNTY SQUARE DRIVE
Practice Address - Street 2:SUITE 106B
Practice Address - City:VENTURA,
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:818-943-5497
Practice Address - Fax:818-788-3389
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-14
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32543106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist