Provider Information for 1902427198
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NICOLE M FARSHCHIAN LCSW
Sex: Female
NPI: 1902427198
Last Updated: 2021-06-29
Certification Date: 2021-06-29
Certification Date: 2021-06-29
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902427198 | ||||||||||||
| Enumeration Date | 2020-04-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 480 S LOS ROBLES AVE UNIT 5 PASADENA, CA 91101-3821 United States Phone: 305-342-2555 | Fax: | ||||||||||||
| Primary Practice Address | 480 S LOS ROBLES AVE UNIT 5 PASADENA, CA 91101-3821 United States Phone: 305-342-2555 | Fax: | ||||||||||||
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