Provider Demographics
NPI:1306318464
Name:KHOJA, SANNA (LPC-INTERN)
Entity type:Individual
Prefix:
First Name:SANNA
Middle Name:
Last Name:KHOJA
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 BUFFALO SPEEDWAY APT 1310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2544
Mailing Address - Country:US
Mailing Address - Phone:409-225-1446
Mailing Address - Fax:
Practice Address - Street 1:6550 MAPLERIDGE ST STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4647
Practice Address - Country:US
Practice Address - Phone:866-357-9461
Practice Address - Fax:713-665-9100
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78266101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional