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NPI Code Detail

MEDICARE: SABRINA KHAWAJA MHCLP

MEDICARE: SABRINA KHAWAJA MHCLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor9682CA
2101YM0800XMental Health CounselorP102620NY

General Provider Information

NPI Number : 1790305670
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA KHAWAJA MHCLP
Provider Business Mailing Address
First Line : 100 S DOHENY DR APT 703
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-2992
Country : US
Telephone Number : 732-947-2403
Fax Number :
Provider Business Practice Location Address
First Line : 303 5TH AVE RM 1909
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6658
Country : US
Telephone Number : 212-545-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2020
Last Update Date : 07/19/2024

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Directions to “ SABRINA KHAWAJA MHCLP” Practice Location

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