Doctor Name: | MR. DAVID AKULLIAN |
NPI Number: | 1003964289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MFCC |
License Number: | MFT13690 |
Business Practice Address: | 1543 Shattuck Ave Suite 102 Berkeley, CA - 947091570 |
Business Phone Number: | 5108484203 |
Business Fax Number: | 5108484203 |
Mailing Address: | 1543 Shattuck Ave, Suite 102 BERKELEY |
State: | CA |
Postal Code: | 947091570 |
Phone Number: | 5108484203 |
Fax Number: | 5108484203 |
NPI Enumeration Date: | 01/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT13690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |