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General NPI Number Information
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NPI Number | 1386442283
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Entity Type | Organization
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Legal Business Name | MIND AND SOUL COUNSELING INC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 230 N MARYLAND AVE STE 303
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City | GLENDALE
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State | CA
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Zip | 91206-4281
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Country | US
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Telephone | 747-208-2623
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 S GLENDALE AVE., # 50
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City | GLENDALE
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State | CA
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Zip | 91205-3205
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Country | US
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Telephone | 747-208-2623
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Fax |
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Authorized Official
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Title or Position | OFFICER DIRECTOR
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Name | HAYA HAYKUHI AVETISYAN
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Credential | LMFT
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Telephone | 747-208-2623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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