Individual
STEVEN H KHANJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C., & L.C.A.D.C
Contact information
Practice address
1172 E RIDGEWOOD AVE STE 4, RIDGEWOOD, NJ 07450-3928
(201) 857-5909
(201) 632-6454
Mailing address
400 TENAFLY RD UNIT 441, TENAFLY, NJ 07670-7020
(201) 857-5909
(201) 632-6454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00126800
NJ
101YP2500X
Professional Counselor
Primary
37PC00197500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37LC00126800
L.C.A.D.C.
NJ
01
—
37PC00197500
L.P.C.
NJ
Enumeration date
01/18/2007
Last updated
01/05/2019
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