Provider Demographics
NPI:1770046849
Name:DAIL, NAJAH (LPC)
Entity Type:Individual
Prefix:
First Name:NAJAH
Middle Name:
Last Name:DAIL
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 1:15200 LEICESTERSHIRE ST UNIT 356
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5929
Mailing Address - Country:US
Mailing Address - Phone:973-830-7176
Mailing Address - Fax:
Practice Address - Street 1:15200 LEICESTERSHIRE ST UNIT 356
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5929
Practice Address - Country:US
Practice Address - Phone:973-830-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-07
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional