Doctor Name: | MS. AMINA HABIB |
NPI Number: | 1023441268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS. MFTI |
License Number: | 3502-R |
Business Practice Address: | 795 Willow Rd Bldg 332 Menlo Park, CA - 940252539 |
Business Phone Number: | 6503241470 |
Business Fax Number: | 6503244149 |
Mailing Address: | 795 Willow Rd Bldg 332, MENLO PARK |
State: | CA |
Postal Code: | 94025 |
Phone Number: | 6503241470 |
Fax Number: | 6503244149 |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3502-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |