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Provider Information for 1801367016


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ZAINAB KILLIDAR LMHC


Sex: Female

NPI: 1801367016
Last Updated: 2018-12-16
Certification Date:

Details

NameValue
NPI1801367016
Enumeration Date2018-12-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3330 SW 17TH AVE
MIAMI, FL 33133-2537
United States

Phone: 305-613-5292 | Fax:
 
Primary Practice Address 3330 SW 17TH AVE
MIAMI, FL 33133-2537
United States

Phone: 305-613-5292 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH16020