Provider Demographics
NPI:1851055198
Name:SEFERYAN, ANI (AMFT)
Entity Type:Individual
Prefix:
First Name:ANI
Middle Name:
Last Name:SEFERYAN
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 1:24218 HIGHLANDER RD
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1244
Mailing Address - Country:US
Mailing Address - Phone:818-731-1370
Mailing Address - Fax:
Practice Address - Street 1:20501 VENTURA BLVD STE 395
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-6438
Practice Address - Country:US
Practice Address - Phone:818-579-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127302106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist