Jaganath, Mythili

Jaganath, Mythili is an individual health care provider with primary practice located at 22048 Sherman Way Ste 307 , Canoga Park CA 91303. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jaganath, Mythili can be contacted via phone (818) 348-1436.

Contact Information

Primary practice address
22048 Sherman Way Ste 307 Canoga Park CA 91303
Phone: (818) 348-1436
Fax: (818) 348-1436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC31576 California

Profile Details

NPI number 1689775512
LBN Legal business name Jaganath, Mythili
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689775512 NPPES
California MEDICAID MF3157600

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