Provider Demographics
NPI:1760681183
Name:YOUSSEFIAN, HERMIN (MFT)
Entity Type:Individual
Prefix:
First Name:HERMIN
Middle Name:
Last Name:YOUSSEFIAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37720 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-8755
Mailing Address - Country:US
Mailing Address - Phone:951-587-5533
Mailing Address - Fax:
Practice Address - Street 1:37720 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-8755
Practice Address - Country:US
Practice Address - Phone:951-587-5533
Practice Address - Fax:951-587-5533
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist