Individual
RUNA KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 LAFAYETTE ST, NEW BRITAIN, CT 06051-1803
(860) 224-3642
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00310700
NJ
101YP2500X
Professional Counselor
37PC00681200
NJ
101YP2500X
Professional Counselor
Primary
4598
CT
Other
Enumeration date
02/16/2021
Last updated
07/22/2024
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