person
Ms. Mariam M Nikogosyan
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1770261109

Mariam M Nikogosyan is an Addiction (Substance Use Disorder) Counselor based in Indio, CA and is specialized in Addiction (Substance Use Disorder). Mariam M Nikogosyan practices in Indio, CA. The NPI Number for Mariam M Nikogosyan is 1770261109 and holds a License No. (California).

The current practice location address for Mariam M Nikogosyan is 81709 Dr Carreon Blvd Ste B1, Indio, CA and can be reached out via phone at 760-347-0000 and via fax at 760-347-0020.

Location: 81709 Dr Carreon Blvd Ste B1, Indio, CA, 92201-5510
person
Provider Profile Details
NPI Number
1770261109
Provider Name
Mariam M Nikogosyan
Credential
Provider Entity Type
Individual
Gender
Female
Address
81709 Dr Carreon Blvd Ste B1, Indio, CA, 92201-5510
Phone Number
760-347-0000
Fax Number
760-347-0020
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2147NG1V 05 CA
33-11 01 CA DEPARTMENT OF HEALTH CARE SERVICES - NARCOTIC TREATMENT PROGRAM
CA-10404-M 01 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA)
institution
Provider Business Practice Location Address Details
Address
81709 Dr Carreon Blvd Ste B1
City
State
Zip
92201-5510
Phone Number
760-347-0000
Fax Number
760-347-0020
person
Provider Business Mailing Address Details
Address
81709 Dr Carreon Blvd Ste B1
City
State
Zip
92201-5510
Phone Number
760-347-0000
Fax Number
760-347-0020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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