Doctor Name: | MR. MUHAMMAD RIDWAN RAHMAN |
NPI Number: | 1003947714 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCS 23383 |
Business Practice Address: | 27141 Hidaway Ave # 205 Santa Clarita, CA - 913514131 |
Business Phone Number: | 6616182213 |
Business Fax Number: | |
Mailing Address: | 21411 Plane Tree Ln, # 202 NEWHALL |
State: | CA |
Postal Code: | 913214475 |
Phone Number: | 6616182213 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS 23383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |