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NPI Code Detail

MEDICARE: CHRISTINE SARKISSIAN LICENSED CLINICAL SOCIAL WORKER INC

MEDICARE: CHRISTINE SARKISSIAN LICENSED CLINICAL SOCIAL WORKER INC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1730939190
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTINE SARKISSIAN LICENSED CLINICAL SOCIAL WORKER INC
Provider Business Mailing Address
First Line : 322 CULVER BLVD # 1102
Second Line :
City : PLAYA DEL REY
State : CA
Zip : 90293-7704
Country : US
Telephone Number : 818-572-4600
Fax Number :
Provider Business Practice Location Address
First Line : 322 CULVER BLVD # 1102
Second Line :
City : PLAYA DEL REY
State : CA
Zip : 90293-7704
Country : US
Telephone Number : 818-572-4600
Fax Number :
Authorized Official
Title or Position : CEO/THERAPIST
Name : MISS CHRISTINE SARKISSIAN
Credential : LCSW
Telephone Number : 818-572-4600
Provider Enumeration Date : 03/26/2024
Last Update Date : 03/26/2024

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Directions to “CHRISTINE SARKISSIAN LICENSED CLINICAL SOCIAL WORKER INC ” Practice Location

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