Individual provider · NPI-1

Dr. Manal Abukishk

Counselor, Mental Health · Fairfax, VA

NPI number1437478922
StatusActive
Last updated in NPPESMay 23, 2010

Details

NPI
1437478922
Entity type
Individual (NPI-1)
Name
Dr. Manal Abukishk
Sex
Female
Sole proprietor
Yes
Enumeration date
May 23, 2010
Last updated
May 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health0701004785VAYes
101YM0800X Counselor, Mental HealthPRC13987DC

Other names

  • Manal Abukishk (Professional Name)

Practice location

8320 Professional Hill Dr
Fairfax, VA 22031-4611

Phone 703-876-8480

Mailing address

8320 Professional Hill Dr
Fairfax, VA 22031-4611

Phone 703-876-8480

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