Provider Demographics
NPI:1023597283
Name:ABOU-SEDA, NADIA (APCC)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:
Last Name:ABOU-SEDA
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1021
Mailing Address - Country:US
Mailing Address - Phone:949-502-4721
Mailing Address - Fax:949-502-4725
Practice Address - Street 1:2101 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1021
Practice Address - Country:US
Practice Address - Phone:949-502-4721
Practice Address - Fax:949-502-4725
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC5393101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor