| Gina Nercisian Licensed Clinical Social Worker Inc | |
|
4910 Glencove Ave La Crescenta CA 91214-1028 | |
| (323) 440-6477 | |
| Not Available |
| Full Name | Gina Nercisian Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4910 Glencove Ave, La Crescenta, California |
| Authorized Official Name and Position | Gina Nercisian (CEO) |
| Authorized Official Contact | 8186606870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Nercisian Licensed Clinical Social Worker Inc 2222 Foothill Blvd # E162 La Canada Flintridge CA 91011-1456 Ph: (818) 660-6870 | Gina Nercisian Licensed Clinical Social Worker Inc 4910 Glencove Ave La Crescenta CA 91214-1028 Ph: (323) 440-6477 |
| NPI Number | 1588489611 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588489611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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