Individual
CHAYA M KHAIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 13TH AVE, BROOKLYN, NY 11219-1389
(718) 400-9988
Mailing address
1703 UNION ST APT 1A, BROOKLYN, NY 11213-4968
(347) 751-9050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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