Individual provider · Type 1 NPI

Shushan Petrosyan

Mental Health Counselor · Los Angeles, CA

NPI number 1164755310 Active

Practice location

3125 N Broadway
Los Angeles, CA 90031-2703

Call (323) 222-4591 Map

Fax (323) 222-4614

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164755310

Shushan Petrosyan's National Provider Identifier is 1164755310, issued on Sep 4, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 4, 2009.