Individual
SHANTI SHANTI KAUR KHALSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
27 SHADY LN, ESPANOLA, NM 87532-9633
(505) 927-7803
Mailing address
PO BOX 1925, ESPANOLA, NM 87532-1925
(505) 927-7803
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC28201
CA
106H00000X
Marriage & Family Therapist
Primary
—
CA
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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