Provider Demographics
NPI:1184383945
Name:KHAN, NAVEED SHAMS (LPC, MPH)
Entity type:Individual
Prefix:
First Name:NAVEED
Middle Name:SHAMS
Last Name:KHAN
Suffix:
Gender:F
Credentials:LPC, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-1140
Mailing Address - Country:US
Mailing Address - Phone:703-462-3578
Mailing Address - Fax:
Practice Address - Street 1:1804 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-1140
Practice Address - Country:US
Practice Address - Phone:703-462-3578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200001227101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health