Individual
ABBAS KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 S CORONADO AVE, ESPANOLA, NM 87532-2792
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19509
CA
101YM0800X
Mental Health Counselor
Primary
CMH0208951
NM
Other
Enumeration date
01/09/2020
Last updated
01/06/2026
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