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Individual

MS. AMENA NISHAT KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
37400 GARFIELD RD STE 325, CLINTON TWP, MI 48036-3677
(586) 275-2481
Mailing address
6295 ROCHESTER RD, TROY, MI 48085-1304
(586) 596-3963

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451022124
MI
101YM0800X
Mental Health Counselor
Primary
6451022124
MI

Other

Enumeration date
07/23/2022
Last updated
07/23/2022
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