Individual
NIKITA MONET TERRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122-5976
(877) 840-6956
(619) 393-6701
Mailing address
PO BOX 601422, SAN DIEGO, CA 92160-1422
(877) 840-6956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH18834
FL
101YP2500X
Professional Counselor
Primary
15875
CA
101YP2500X
Professional Counselor
CP3221-R
NV
Other
Enumeration date
02/18/2021
Last updated
03/22/2024
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