Individual
ELISE KHANIJAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
2168 WISCONSIN AVE NW, WASHINGTON, DC 20007-2280
(214) 507-2248
Mailing address
2168 WISCONSIN AVE NW, WASHINGTON, DC 20007-2280
(413) 265-4270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGPC200001254
DC
101YP2500X
Professional Counselor
LC15945
MD
101YP2500X
Professional Counselor
Primary
PRC200001976
DC
Other
Enumeration date
04/07/2022
Last updated
02/10/2025
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