| Anchor Counseling Group, A Professional Corporation For Indiv | |
|
138 N Brand Blvd Ste 303 Glendale CA 91203-4621 | |
| (818) 497-7470 | |
| (818) 660-1085 |
| Full Name | Anchor Counseling Group, A Professional Corporation For Indiv |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 138 N Brand Blvd Ste 303, Glendale, California |
| Authorized Official Name and Position | Avo Aveh Soltanian (PRESIDENT) |
| Authorized Official Contact | 8184977470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Counseling Group, A Professional Corporation For Indiv 24469 Mira Vista St Valencia CA 91355-6037 Ph: (818) 937-1095 | Anchor Counseling Group, A Professional Corporation For Indiv 138 N Brand Blvd Ste 303 Glendale CA 91203-4621 Ph: (818) 497-7470 |
| NPI Number | 1568998557 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 1254860760 |
|---|---|
| Medicare Enrollment ID | O20250129001689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568998557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC45151 (California) | Primary |
| Provider Name | Avo Aveh Soltanian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376711861 PECOS PAC ID: 2163951674 Enrollment ID: I20250131000580 |
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