Tara Ann Khawaja, SUDRC
Tara Ann Khawaja, SUDRC is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1477 Lincoln AveSan Rafael, CA 94901-2028
Phone: (415) 459-2395
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15165 (CA) |
|---|
Record details
| NPI number | 1821782012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDRC |
| Sole proprietor | No |
| NPI enumerated | June 8, 2023 |
| Last updated in NPPES | June 8, 2023 |
| Certification date | June 8, 2023 |
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