Organization
GINA NERCISIAN LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
The Mindful Mama Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GINA NERCISIAN LCSW (CEO)
(818) 660-6870
Entity
Organization
Contact information
Practice address
4910 GLENCOVE AVE, LA CRESCENTA, CA 91214-1028
(323) 440-6477
Mailing address
2222 FOOTHILL BLVD # E162, LA CANADA FLINTRIDGE, CA 91011-1456
(818) 660-6870
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
12/09/2024
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