Provider Demographics
NPI:1326068230
Name:ABUGIDEIRI, SALMA ELKADI (LPC)
Entity Type:Individual
Prefix:
First Name:SALMA
Middle Name:ELKADI
Last Name:ABUGIDEIRI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 650714
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-0714
Mailing Address - Country:US
Mailing Address - Phone:703-435-8667
Mailing Address - Fax:703-464-8669
Practice Address - Street 1:1364 BEVERLY RD STE 303
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3644
Practice Address - Country:US
Practice Address - Phone:703-435-8667
Practice Address - Fax:571-282-3517
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003117101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5412188Medicaid