Rachael Khanimova, MFT-INTERN

NPI #1184455859 in Centereach, New York

Provider Information

NPI Number: 1184455859
Entity Type: Individual
Name: Rachael Khanimova, MFT-INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MFT-INTERN
Enumeration Date: Aug 13, 2024
Last Updated: Aug 13, 2024

Practice Location

Address: 2100 MIDDLE COUNTRY RD STE 211B
City: Centereach
State: New York
ZIP Code: 11720-3553
Phone: (631) 372-9378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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