Individual
ELENA KHAZANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
8830 CAMERON ST, SUITE 501, SILVER SPRING, MD 20910-4114
(240) 215-5526
Mailing address
9063 CENTERWAY RD, GAITHERSBURG, MD 20879-1806
(240) 215-5526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4072
MD
Other
Enumeration date
08/30/2010
Last updated
07/08/2011
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