Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanel Boutakidis

Individual provider Marriage & Family Therapist · NPI 1346362498

Chanel Boutakidis is a Marriage & Family Therapist in Altadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

760 Mountain View St
Altadena, CA 91001-4925
Phone: (626) 486-0646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 40750 (CA)

Record details

NPI number1346362498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing address956 Parkman St, Altadena, CA 91001-1442

Other providers in Altadena