Steven H Khanjian, LPC, & LCADC | |
1172 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3928 | |
(201) 857-5909 | |
(201) 632-6454 |
Full Name | Steven H Khanjian |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1172 E Ridgewood Ave Ste 4, Ridgewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063564094 | NPI | - | NPPES |
37LC00126800 | Other | NJ | L.C.A.D.C. |
37PC00197500 | Other | NJ | L.P.C. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00126800 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC00197500 (New Jersey) | Primary |
Entity Name | Fairlawn Behavioral Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861876419 PECOS PAC ID: 9638485329 Enrollment ID: O20150825005651 |
Mailing Address | Practice Location Address |
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Steven H Khanjian, LPC, & LCADC 400 Tenafly Rd Unit 441, Tenafly, NJ 07670-7020 Ph: (201) 857-5909 | Steven H Khanjian, LPC, & LCADC 1172 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3928 Ph: (201) 857-5909 |
Nathalie Valdez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Chestnut St # A, Ridgewood, NJ 07450 Phone: 201-444-3550 | |
Mrs. Mary Webster, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Oak St, Ridgewood, NJ 07450 Phone: 201-652-0128 Fax: 201-652-1778 | |
Mr. Julio C Baez Jr., B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Chesnut Street, Ridgewood, NJ 07450 Phone: 201-444-3550 Fax: 201-652-1613 | |
Faith Anne Sahagian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Chestnut St, Ridgewood, NJ 07450 Phone: 201-509-2204 | |
Paula Lynn Kaplan, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 N Maple Ave Ste 201, Ridgewood, NJ 07450 Phone: 201-689-0050 | |
Lia Friedman, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 Maxwell Pl, Ridgewood, NJ 07450 Phone: 201-675-3152 |