Provider Demographics
NPI:1619510500
Name:HILOU, HANEEN S (AMFT)
Entity Type:Individual
Prefix:
First Name:HANEEN
Middle Name:S
Last Name:HILOU
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 CANBY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-2979
Mailing Address - Country:US
Mailing Address - Phone:818-921-3466
Mailing Address - Fax:
Practice Address - Street 1:7601 CANBY AVE STE 3
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2979
Practice Address - Country:US
Practice Address - Phone:818-921-3466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT140920106H00000X
CAAMFT113823106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist