Individual
MR. BASHARAT KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
19719 BOUMA AVE, CERRITOS, CA 90703-6711
(562) 805-1852
Mailing address
19719 BOUMA AVE, CERRITOS, CA 90703-6711
(562) 805-1852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
116905
CA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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