Provider Demographics
NPI:1831413616
Name:ABDULLAH, RASHEED (CAP)
Entity type:Individual
Prefix:MR
First Name:RASHEED
Middle Name:
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7507 BEACH BLVD APT 1402
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3033
Mailing Address - Country:US
Mailing Address - Phone:904-982-8385
Mailing Address - Fax:
Practice Address - Street 1:7507 BEACH BLVD APT 1402
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-3033
Practice Address - Country:US
Practice Address - Phone:904-982-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2230101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)