CHANEL BOUTAKIDIS

ALTADENA, CA
NPI1346362498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  40750)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- CHANEL BOUTAKIDIS
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-486-0646
Mailing Address
-- CHANEL BOUTAKIDIS
956 PARKMAN ST
ALTADENA, CA 91001-1442
Phone number: 626-202-3380
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