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Individual
MS. MARIAM M NIKOGOSYAN
Active
Individual
MS. MARIAM M NIKOGOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147NG1V
—
CA
01
—
33-11
DEPARTMENT OF HEALTH CARE SERVICES - NARCOTIC TREATMENT PROGRAM
CA
01
—
CA-10404-M
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA)
—
Enumeration date
07/06/2023
Last updated
08/07/2023
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