Individual
HIBA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-MFT
Contact information
Practice address
26 KATHERINE ST, PORT JEFFERSON STATION, NY 11776-1710
(631) 245-0416
Mailing address
26 KATHERINE ST, PORT JEFFERSON STATION, NY 11776-1710
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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