Individual
AMIRA KHATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 S DILLARD ST STE 120B, WINTER GARDEN, FL 34787-3596
(407) 734-3338
Mailing address
16507 LOWRY RD, MONTVERDE, FL 34756-3151
(407) 558-0884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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