Chanel Boutakidis
NPI #1346362498 in Altadena, California
Provider Information
- NPI Number
- 1346362498
- Entity Type
- Individual
- Name
- Chanel Boutakidis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 760 MOUNTAIN VIEW ST
- City
- Altadena
- State
- California
- ZIP Code
- 91001-4925
- Phone
- (626) 486-0646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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