Individual provider · Type 1 NPI
Abdelwahab Eltayeb Elsirag
Mental Health Counselor · Fairfax, VA
NPI number
1487119707
Active
Practice location
12587 Fair Lakes Cir Ste 303
Fairfax, VA 22033-3822
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 1487119707
Abdelwahab Eltayeb Elsirag's National Provider Identifier is 1487119707, issued on Feb 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfax, VA. The record was last updated on Feb 1, 2019.