Individual provider · NPI-1
Mariam Ozavize Abdulraheem, LCSWA, LCASA
Social Worker, Clinical · Raleigh, NC
NPI number1265259493
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1265259493
- Entity type
- Individual (NPI-1)
- Name
- Mariam Ozavize Abdulraheem
- Credential
- LCSWA, LCASA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P020647 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 30054 | NC |
Practice location
609 Dylan CtRaleigh, NC 27606-2207
Phone 919-297-8676
Mailing address
609 Dylan CtRaleigh, NC 27606-2207
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