Provider Demographics
NPI:1609048115
Name:SAHATJIAN, GARBIS A (LCSW)
Entity type:Individual
Prefix:MR
First Name:GARBIS
Middle Name:A
Last Name:SAHATJIAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 94959
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-4959
Mailing Address - Country:US
Mailing Address - Phone:626-375-2199
Mailing Address - Fax:
Practice Address - Street 1:411 MARTELO AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-2442
Practice Address - Country:US
Practice Address - Phone:626-375-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278871041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical