Healthcare Provider Details

I. General information

NPI: 1205441185
Provider Name (Legal Business Name): NOREEN GUL KHAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W 14TH AVE UNIT 40144
DENVER CO
80204-6205
US

IV. Provider business mailing address

450 W 14TH AVE UNIT 40144
DENVER CO
80204-6205
US

V. Phone/Fax

Practice location:
  • Phone: 720-228-5466
  • Fax:
Mailing address:
  • Phone: 720-228-5466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0017990
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: