Individual provider · Type 1 NPI
Seble Wongel Dejene
Nutrition Education Nutritionist · Reston, VA
NPI number
1245611664
Active
Practice location
1801 Robert Fulton Dr Ste 480
Reston, VA 20191-5481
Fax (703) 860-1040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Adult Development & Aging Psychologist | 103TA0700X | None listed |
| Health Psychologist | 103TH0004X | None listed |
| Health Service Psychologist | 103TH0100X | None listed |
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1245611664
Seble Wongel Dejene's National Provider Identifier is 1245611664, issued on Jun 11, 2015. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Reston, VA. The record was last updated on Jun 11, 2015.