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DIANE BAGATOURIAN LMFT

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1891967394

Individual Registrant:
 DIANE  BAGATOURIAN LMFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5762 RAVENSPUR DR #414 RANCHO PALOS VERDES, CA 90275-3570 US
Tel: 310-344-1550  Fax: 310-715-1295

Contact information for business:
46E PENINSULA CTR # 141  ROLLING HILLS ESTATES, CA 90274-3506 US
Tel: 310-344-1550  Fax: 310-715-1295

Registration Information:
NPI: 1891967394
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA91229

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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