Provider Demographics
NPI:1831732924
Name:SABRIE, DEGA A
Entity type:Individual
Prefix:
First Name:DEGA
Middle Name:A
Last Name:SABRIE
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 1:43676 TRADE CENTER PL STE 135
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2124
Mailing Address - Country:US
Mailing Address - Phone:703-672-0459
Mailing Address - Fax:
Practice Address - Street 1:43676 TRADE CENTER PL STE 135
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2124
Practice Address - Country:US
Practice Address - Phone:703-672-0459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704017623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health