Provider Demographics
NPI:1437766524
Name:SARGSYAN, ANZHELA (COUNSELOR)
Entity Type:Individual
Prefix:MRS
First Name:ANZHELA
Middle Name:
Last Name:SARGSYAN
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 HAZELTINE AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1527
Mailing Address - Country:US
Mailing Address - Phone:323-317-1665
Mailing Address - Fax:
Practice Address - Street 1:6420 HAZELTINE AVE APT 9
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1527
Practice Address - Country:US
Practice Address - Phone:323-317-1665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor