Provider Demographics
NPI:1427573674
Name:KHAN, RABIA SANA (LPCC)
Entity Type:Individual
Prefix:
First Name:RABIA
Middle Name:SANA
Last Name:KHAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:RABIA
Other - Middle Name:
Other - Last Name:SANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2255 YGNACIO VALLEY RD STE W
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3347
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2255 YGNACIO VALLEY RD STE W
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3347
Practice Address - Country:US
Practice Address - Phone:925-406-3208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CA15655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician