Provider Demographics
NPI:1942070453
Name:KAPLAN, CONSTANCE ANNE (LICENSED MARRIAGE &)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:ANNE
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LICENSED MARRIAGE &
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17412 VENTURA BLVD.
Mailing Address - Street 2:1819
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316
Mailing Address - Country:US
Mailing Address - Phone:310-733-9668
Mailing Address - Fax:
Practice Address - Street 1:18221 ROSITA STREET
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:310-733-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist