Provider Demographics
NPI:1669266011
Name:KHALSA, HARIN KAUR (MSW, ASW, PPSC, CCHT)
Entity type:Individual
Prefix:
First Name:HARIN
Middle Name:KAUR
Last Name:KHALSA
Suffix:
Gender:F
Credentials:MSW, ASW, PPSC, CCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 DEMING WAY
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9692
Mailing Address - Country:US
Mailing Address - Phone:858-229-4847
Mailing Address - Fax:
Practice Address - Street 1:213 DEMING WAY
Practice Address - Street 2:
Practice Address - City:BUELLTON
Practice Address - State:CA
Practice Address - Zip Code:93427-9692
Practice Address - Country:US
Practice Address - Phone:858-229-4847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1288911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical