Organization
A MINDFUL HEALING COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATEVIK KHACHATRYAN LPC (THERAPIST)
(619) 206-5271
Entity
Organization
Contact information
Practice address
2307 FENTON PKWY # 107-239, SAN DIEGO, CA 92108-4746
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPCC1335
CA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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