Individual
MR. CHRISTOPHER H KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS II
Contact information
Practice address
19401 SUSAN WAY, SONORA, CA 95370-9266
(209) 588-6164
Mailing address
19401 SUSAN WAY, SONORA, CA 95370-9266
(209) 588-6164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
K2012101052
CA
Other
Enumeration date
03/13/2023
Last updated
07/24/2024
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