Provider Demographics
NPI:1376847764
Name:ALOBAIDI, JALAL KADHIM
Entity Type:Individual
Prefix:
First Name:JALAL
Middle Name:KADHIM
Last Name:ALOBAIDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 S COMMON ST
Mailing Address - Street 2:203
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-4585
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:138 S COMMON ST
Practice Address - Street 2:203
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-4585
Practice Address - Country:US
Practice Address - Phone:857-249-7158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor