| Moushumi Ghose, Mft & Associates, Inc. | |
|
10649 Riverside Dr Toluca Lake CA 91602-2341 | |
| (323) 739-4250 | |
| Not Available |
| Full Name | Moushumi Ghose, Mft & Associates, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10649 Riverside Dr, Toluca Lake, California |
| Authorized Official Name and Position | Moushumi Ghose (PRESIDENT) |
| Authorized Official Contact | 3237394250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moushumi Ghose, Mft & Associates, Inc. 10649 Riverside Dr Toluca Lake CA 91602-2341 Ph: (323) 739-4250 | Moushumi Ghose, Mft & Associates, Inc. 10649 Riverside Dr Toluca Lake CA 91602-2341 Ph: (323) 739-4250 |
| NPI Number | 1891333167 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891333167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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