| Miraya Surya-keller, | |
|
5927 Cantaloupe Ave, Valley Glen, CA 91401-4313 | |
| (213) 863-5056 | |
| Not Available |
| Full Name | Miraya Surya-keller |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5927 Cantaloupe Ave, Valley Glen, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306663323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 136145 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miraya Surya-keller, 19161 Erwin St, Tarzana, CA 91335-6707 Ph: (818) 425-8027 | Miraya Surya-keller, 5927 Cantaloupe Ave, Valley Glen, CA 91401-4313 Ph: (213) 863-5056 |
Kellie Aponte, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5927 Cantaloupe Ave, Valley Glen, CA 91401 Phone: 818-245-5352 | |
Mr. Khachik Chris Papazyan, ASSOCIATES DEGREE Counselor Medicare: Not Enrolled in Medicare Practice Location: 13031 Calvert St, Valley Glen, CA 91401 Phone: 818-590-8838 |