Provider Demographics
NPI:1669178562
Name:ABOUNAYAN, CHRISTOPHER SALIM (LMFT #129113)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SALIM
Last Name:ABOUNAYAN
Suffix:
Gender:M
Credentials:LMFT #129113
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17761 SIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-1029
Mailing Address - Country:US
Mailing Address - Phone:818-621-3077
Mailing Address - Fax:
Practice Address - Street 1:1237 7TH ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1605
Practice Address - Country:US
Practice Address - Phone:818-570-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129113106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist