Individual
HAMBARTSUM JACK MOVSESYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Mailing address
16045 SHERMAN WAY # H239, VAN NUYS, CA 91406-4085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
31646
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2014
Last updated
03/04/2023
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