Provider Demographics
NPI:1649401886
Name:KAHN, ANGELA (MFT, MA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:KAHN
Suffix:
Gender:F
Credentials:MFT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8281 MELROSE AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6832
Mailing Address - Country:US
Mailing Address - Phone:323-356-3571
Mailing Address - Fax:
Practice Address - Street 1:8281 MELROSE AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-6832
Practice Address - Country:US
Practice Address - Phone:323-356-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45163106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist