Individual provider · Type 1 NPI
Sandra Olivia Khumalo
Counselor · Mesa, AZ
NPI number
1609725092
Active
Practice location
1102 S. Oracle, Suite 18B - Building 4
Mesa, AZ 85204
Fax (620) 647-4819
Mailing address
1818 E Southern Ave Ste 18B
Mesa, AZ 85204-5255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | OTC23011 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1609725092
Sandra Olivia Khumalo's National Provider Identifier is 1609725092, issued on Jan 27, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mesa, AZ. The record was last updated on Jan 30, 2026.