Individual
KHADIJAH SALAAM
Active
Individual
KHADIJAH SALAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A16171
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
23782A
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
170300000X
Genetic Counselor (M.S.)
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/12/2020
Last updated
05/13/2022
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