Provider Demographics
NPI:1346836756
Name:KHURRAM, UZMA (LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:KHURRAM
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:MRS
Other - First Name:UZMA
Other - Middle Name:
Other - Last Name:KHURRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, LPCC
Mailing Address - Street 1:PO BOX 6934
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94570-6934
Mailing Address - Country:US
Mailing Address - Phone:925-310-5723
Mailing Address - Fax:
Practice Address - Street 1:310 GLEN ALPINE ST
Practice Address - Street 2:
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556-1928
Practice Address - Country:US
Practice Address - Phone:760-500-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC7962101YP2500X
CALMFT116362106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty