Organization · NPI-2

A Mindful Healing Counseling Center

Clinic/Center, Mental Health (Including Community Mental Health Center) · San Diego, CA

NPI number1396240339
StatusActive
Last updated in NPPESMar 29, 2018

Details

NPI
1396240339
Entity type
Organization (NPI-2)
Legal business name
A Mindful Healing Counseling Center
Organization subpart
No
Enumeration date
Mar 29, 2018
Last updated
Mar 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)LPCC1335CAYes

Practice location

2307 Fenton Pkwy # 107-239
San Diego, CA 92108-4746

Phone 619-206-5271 · Fax 619-795-3274

Mailing address

2307 Fenton Pkwy # 107-239
San Diego, CA 92108-4746

Phone 619-206-5271 · Fax 619-795-3274

Authorized official

Tatevik Khachatryan
Therapist
6192065271

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