Provider Demographics
NPI:1639657141
Name:UNZUETA, EMILY GABRIELLE (MA)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:GABRIELLE
Last Name:UNZUETA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4920 VAN NUYS BLVD APT 348
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1726
Mailing Address - Country:US
Mailing Address - Phone:805-452-8218
Mailing Address - Fax:
Practice Address - Street 1:221 WESTWOOD PLAZA
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-0768
Practice Address - Fax:310-206-7365
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health