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General NPI Number Information
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NPI Number | 1609743327
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Entity Type | Organization
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Legal Business Name | MSS THERAPEUTIC CENTERS, INC.
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 11312 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-3423
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Country | US
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Telephone | 855-853-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10365
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City | GLENDALE
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State | CA
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Zip | 91209-3365
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JACQUES DARAKJIAN
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Credential |
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Telephone | 818-244-2677
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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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