Provider Demographics
NPI:1851007223
Name:ASFAW, TEJE
Entity Type:Individual
Prefix:
First Name:TEJE
Middle Name:
Last Name:ASFAW
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 1:6800 GEORGIA AVE NW APT 147
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2664
Mailing Address - Country:US
Mailing Address - Phone:202-415-7364
Mailing Address - Fax:
Practice Address - Street 1:6800 GEORGIA AVE NW APT 147
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2664
Practice Address - Country:US
Practice Address - Phone:202-415-7364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC2731182OtherDMV ID