Provider Demographics
NPI:1922530104
Name:GIRBAL-SHILVARJO, DANIELA ADRINE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:ADRINE
Last Name:GIRBAL-SHILVARJO
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 1:8937 KITTYHAWK AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4128
Mailing Address - Country:US
Mailing Address - Phone:310-741-7992
Mailing Address - Fax:
Practice Address - Street 1:8937 KITTYHAWK AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4128
Practice Address - Country:US
Practice Address - Phone:310-741-7992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106602106H00000X
390200000X
CA122392106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program