Provider Information for 1750988390
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NICOLE SUJATA KHANNA MA LMFT
Other Names:Professional Name:NIKI KHANNA MA LMFTSex: Female
NPI: 1750988390
Last Updated: 2023-03-29
Certification Date: 2023-03-29
Certification Date: 2023-03-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750988390 | ||||||||
| Enumeration Date | 2020-10-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1699 MARKET ST APT 622 SAN FRANCISCO, CA 94103-1327 United States Phone: 415-602-1160 | Fax: | ||||||||
| Primary Practice Address | 1699 MARKET ST APT 622 SAN FRANCISCO, CA 94103-1327 United States Phone: 415-602-1160 | Fax: | ||||||||
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