Individual provider · Type 1 NPI
Osaze Shabazz
Mental Health Counselor · Atlanta, GA
NPI number
1457076739
Active
Practice location
2823 Mount Wilkinson Pkwy SE # 13
Atlanta, GA 30339-3631
Mailing address
PO Box 20379
Atlanta, GA 30325-0379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457076739
Osaze Shabazz's National Provider Identifier is 1457076739, issued on Oct 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Oct 10, 2022.