Provider Demographics
NPI:1740953652
Name:GUIDANCE COUNSELING GROUP
Entity type:Organization
Organization Name:GUIDANCE COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KERIMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-269-8339
Mailing Address - Street 1:2626 FOOTHILL BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3574
Mailing Address - Country:US
Mailing Address - Phone:818-269-8339
Mailing Address - Fax:
Practice Address - Street 1:2626 FOOTHILL BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3574
Practice Address - Country:US
Practice Address - Phone:818-269-8339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty