Basic Information
| Provider Information | |||||||||
| NPI: | 1588335301 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOLIAN | ||||||||
| FirstName: | ASAL | ||||||||
| MiddleName: | HONEY | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | AMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15340 DEVONSHIRE ST | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913452759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3238799176 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 15340 DEVONSHIRE ST | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913452759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3238799176 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2021 | ||||||||
| LastUpdateDate: | 09/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 127920 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.