| Khali Maden Therapy Pllc | |
|
30 Mirona Road Ext Ste 3 Portsmouth NH 03801-5385 | |
| (603) 600-8533 | |
| Not Available |
| Full Name | Khali Maden Therapy Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 30 Mirona Road Ext Ste 3, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Khali Maden (OWNER) |
| Authorized Official Contact | 6039887160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khali Maden Therapy Pllc 30 Mirona Road Ext Ste 3 Portsmouth NH 03801-5385 Ph: (603) 600-8533 | Khali Maden Therapy Pllc 30 Mirona Road Ext Ste 3 Portsmouth NH 03801-5385 Ph: (603) 600-8533 |
| NPI Number | 1902650963 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902650963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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