Provider Demographics
NPI:1669860706
Name:KNABEL, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:KNABEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3959 PENDER DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6041
Mailing Address - Country:US
Mailing Address - Phone:425-487-3885
Mailing Address - Fax:425-487-4884
Practice Address - Street 1:3959 PENDER DR
Practice Address - Street 2:SUITE 305
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6041
Practice Address - Country:US
Practice Address - Phone:425-487-3885
Practice Address - Fax:425-487-4884
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VALGP4793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health