MEDICARE: ARMAN TER-GRIGORYAN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist	69184	CA

General Provider Information

NPI Number	:	1285949511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMAN TER-GRIGORYAN LMFT

Provider Business Mailing Address
First Line	:	2235 LAKE AVE STE 110
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-6002
Country	:	US
Telephone Number	:	626-786-4864
Fax Number	:

Provider Business Practice Location Address
First Line	:	2235 LAKE AVE STE 110
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-6002
Country	:	US
Telephone Number	:	626-786-4864
Fax Number	:	626-569-7046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	06/05/2025

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