Provider Demographics
NPI:1487290573
Name:RIZWAN, MALEHA ZAINAB (LPCC)
Entity type:Individual
Prefix:MS
First Name:MALEHA
Middle Name:ZAINAB
Last Name:RIZWAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 18TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-2116
Mailing Address - Country:US
Mailing Address - Phone:507-287-2010
Mailing Address - Fax:507-287-7805
Practice Address - Street 1:4600 18TH AVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-2116
Practice Address - Country:US
Practice Address - Phone:507-287-2010
Practice Address - Fax:507-287-7805
Is Sole Proprietor?:No
Enumeration Date:2019-11-23
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301018097103TC0700X
MN4833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical