Provider Demographics
NPI:1700917945
Name:SAVRA, JOUSLINE (LMFT)
Entity Type:Individual
Prefix:
First Name:JOUSLINE
Middle Name:
Last Name:SAVRA
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 1:15235 BURBANK BLVD
Mailing Address - Street 2:SUITE A-4
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3500
Mailing Address - Country:US
Mailing Address - Phone:626-433-3051
Mailing Address - Fax:
Practice Address - Street 1:15235 BURBANK BLVD.
Practice Address - Street 2:SUITE A-4
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:626-433-3051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist