# SHOGHAIR MGRDITCHIAN FAMILY AND INDIVIDUAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851008189
- **Authorized official:** SHOGHAIR MGRDITCHIAN LMFT (LMFT/OWNER)
- **Authorized official phone:** (626) 644-6632

## Contact information

- **Practice address:** 2505 FOOTHILL BLVD STE D, LA CRESCENTA, CA 91214-4555
- **Practice address phone:** (661) 524-9932
- **Practice address fax:** (661) 524-9950
- **Mailing address:** 9558 INSPIRATION WAY, TUJUNGA, CA 91042-3018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 08/30/2024
