Individual
TATEVIK KHACHATRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 CAMINO DE LA REINA STE 210, SAN DIEGO, CA 92108-3104
(619) 206-5271
(619) 795-3274
Mailing address
2307 FENTON PKWY, #107-239, SAN DIEGO, CA 92108-4746
(619) 206-5271
(619) 795-3274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC1335
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPCC1335
CA
Other
Enumeration date
02/22/2007
Last updated
05/01/2020
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