Provider Demographics
NPI:1689356297
Name:ABDULLE, NAWAAL HUSSEIN
Entity Type:Individual
Prefix:MS
First Name:NAWAAL
Middle Name:HUSSEIN
Last Name:ABDULLE
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 1:4849 CONNECTICUT AVE NW APT 630
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5802
Mailing Address - Country:US
Mailing Address - Phone:951-750-0814
Mailing Address - Fax:
Practice Address - Street 1:4849 CONNECTICUT AVE NW APT 630
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5802
Practice Address - Country:US
Practice Address - Phone:951-750-0814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPCOO873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health