Provider Demographics
NPI:1992905889
Name:KHAN, CECILIA
Entity type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:GUIDOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW INTERN
Mailing Address - Street 1:350 SOUTH CENTER STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501
Mailing Address - Country:US
Mailing Address - Phone:775-328-3910
Mailing Address - Fax:775-337-4565
Practice Address - Street 1:350 S CENTER ST
Practice Address - Street 2:SUITE 500
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2111
Practice Address - Country:US
Practice Address - Phone:775-328-3910
Practice Address - Fax:775-337-4565
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2753-S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health