Khemet Goudjayi, Nefertiti K

Khemet Goudjayi, Nefertiti K is an individual health care provider with primary practice located at 8120 Penn Ave S , Bloomington MN 55431-1358. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Khemet Goudjayi, Nefertiti K can be contacted via phone (916) 243-5337.

Contact Information

Primary practice address
8120 Penn Ave S Bloomington MN 55431-1358
Phone: (916) 243-5337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 32064 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 102830 California

Profile Details

NPI number 1275941775
LBN Legal business name Khemet Goudjayi, Nefertiti K
Credentials LCSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Jul 4th, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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