Provider Demographics
NPI:1205712528
Name:DASMALCHI, ARIAN JUNE (AMFT, APCC)
Entity type:Individual
Prefix:
First Name:ARIAN
Middle Name:JUNE
Last Name:DASMALCHI
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:PENNGROVE
Mailing Address - State:CA
Mailing Address - Zip Code:94951-0021
Mailing Address - Country:US
Mailing Address - Phone:415-625-3210
Mailing Address - Fax:
Practice Address - Street 1:45 CAMINO ALTO STE 208
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2935
Practice Address - Country:US
Practice Address - Phone:415-625-3210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19927101YM0800X
CA156164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health