Provider Demographics
NPI:1740499235
Name:PASHA, JABIR NA'IM (DD, LCPC)
Entity type:Individual
Prefix:DR
First Name:JABIR
Middle Name:NA'IM
Last Name:PASHA
Suffix:
Gender:M
Credentials:DD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3745 ELMORA AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1954
Mailing Address - Country:US
Mailing Address - Phone:410-488-0555
Mailing Address - Fax:
Practice Address - Street 1:3745 ELMORA AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1954
Practice Address - Country:US
Practice Address - Phone:410-488-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2117102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst