Individual provider · Type 1 NPI

Tara Ann Khawaja, SUDRC

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1821782012 Active

Practice location

1477 Lincoln Ave
San Rafael, CA 94901-2028

Call (415) 459-2395 Map

Mailing address

1601 2nd St Ste 104
San Rafael, CA 94901-2701

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15165 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1821782012

Tara Ann Khawaja, SUDRC's National Provider Identifier is 1821782012, issued on Jun 8, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Jun 8, 2023.