Provider Demographics
NPI:1003947714
Name:RAHMAN, MUHAMMAD RIDWAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:RIDWAN
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21411 PLANE TREE LN
Mailing Address - Street 2:# 202
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-4475
Mailing Address - Country:US
Mailing Address - Phone:661-618-2213
Mailing Address - Fax:
Practice Address - Street 1:27141 HIDAWAY AVE
Practice Address - Street 2:# 205
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-4131
Practice Address - Country:US
Practice Address - Phone:661-618-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 23383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health