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Tara Yasmeen Khadr

Marriage & Family Therapist in Encino, CA. Individual provider (NPI-1).

NPI number1033761069
StatusActive
Last updated in NPPESSep 18, 2024

Details

NPI
1033761069
Entity type
Individual (NPI-1)
Name
Tara Yasmeen Khadr
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 10, 2019
Certification date
Sep 18, 2024
Last updated
Sep 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist125696CAYes

Practice location

16055 Ventura Blvd Ste 1010
Encino, CA 91436-2611

Phone 818-404-0459

Mailing address

16055 Ventura Blvd
Encino, CA 91436-2601

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