Provider Demographics
NPI:1497848980
Name:ABRAR, SHAHNAZ (M F T)
Entity Type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:
Last Name:ABRAR
Suffix:
Gender:F
Credentials:M F T
Other - Prefix:
Other - First Name:SHAHNAZ
Other - Middle Name:
Other - Last Name:ABRAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1246 ARMACOST AVE
Mailing Address - Street 2:PH5
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6431
Mailing Address - Country:US
Mailing Address - Phone:310-358-6888
Mailing Address - Fax:310-550-7878
Practice Address - Street 1:1246 ARMACOST AVE
Practice Address - Street 2:PH5
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6431
Practice Address - Country:US
Practice Address - Phone:310-358-6000
Practice Address - Fax:310-550-7878
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMF36571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health