Provider Demographics
NPI:1891494969
Name:AKOPIAN, GAIANE (LMFT)
Entity Type:Individual
Prefix:
First Name:GAIANE
Middle Name:
Last Name:AKOPIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91021-0023
Mailing Address - Country:US
Mailing Address - Phone:818-282-3100
Mailing Address - Fax:
Practice Address - Street 1:2121 VALDERAS DR APT 37
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1359
Practice Address - Country:US
Practice Address - Phone:818-282-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA137971106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist