| Shushanik Gaboian Licensed Clinical Social Worker Inc. | |
|
16530 Ventura Blvd Ste 400 Encino CA 91436-4551 | |
| (323) 907-0520 | |
| Not Available |
| Full Name | Shushanik Gaboian Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16530 Ventura Blvd Ste 400, Encino, California |
| Authorized Official Name and Position | Shushanik Gaboian (CEO) |
| Authorized Official Contact | 3239070520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shushanik Gaboian Licensed Clinical Social Worker Inc. 16530 Ventura Blvd Ste 400 Encino CA 91436-4551 Ph: (323) 907-0520 | Shushanik Gaboian Licensed Clinical Social Worker Inc. 16530 Ventura Blvd Ste 400 Encino CA 91436-4551 Ph: (323) 907-0520 |
| NPI Number | 1386333201 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386333201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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