person
Tara Ann Khawaja, SUDRC
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1821782012

Tara Ann Khawaja is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Tara Ann Khawaja practices in San Rafael, CA and has the professional credentials of SUDRC. The NPI Number for Tara Ann Khawaja is 1821782012 and holds a License No. 15165 (California).

The current practice location address for Tara Ann Khawaja is 1477 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-459-2395.

Location: 1477 Lincoln Ave, San Rafael, CA, 94901-2701
person
Provider Profile Details
NPI Number
1821782012
Provider Name
Tara Ann Khawaja
Credential
SUDRC
Provider Entity Type
Individual
Gender
Female
Address
1477 Lincoln Ave, San Rafael, CA, 94901-2701
Phone Number
415-459-2395
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1477 Lincoln Ave
City
State
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
person
Provider Business Mailing Address Details
Address
1477 Lincoln Ave
City
State
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15165 (California)
Definition
Definition to come...
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