Provider Demographics
NPI:1063530400
Name:KHAN-AMRIKANI, SHEREEN A (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHEREEN
Middle Name:A
Last Name:KHAN-AMRIKANI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:SHEREEN
Other - Middle Name:A
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 508
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-0050
Mailing Address - Country:US
Mailing Address - Phone:707-654-4101
Mailing Address - Fax:707-666-6632
Practice Address - Street 1:PO BOX 508
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-0050
Practice Address - Country:US
Practice Address - Phone:707-654-4101
Practice Address - Fax:707-666-6632
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90678106H00000X
101YM0800X
CA68180106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health