Provider Demographics
NPI:1033457510
Name:TSHAMJYAN, HARUTYUN
Entity Type:Individual
Prefix:MR
First Name:HARUTYUN
Middle Name:
Last Name:TSHAMJYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 N CENTRAL AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3550
Mailing Address - Country:US
Mailing Address - Phone:818-726-9448
Mailing Address - Fax:866-912-7569
Practice Address - Street 1:229 N CENTRAL AVE STE 202
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3550
Practice Address - Country:US
Practice Address - Phone:818-726-9448
Practice Address - Fax:866-912-7569
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor