Individual
NESREEN KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(708) 539-0811
Mailing address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(708) 539-0811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17910
CA
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/14/2023
Last updated
11/07/2024
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