Doctor Name: | MS. NAWAL SAJIH ABOUL-HOSN |
NPI Number: | 1093737991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LMHC, LMFT, CAP |
License Number: | MH7623 |
Business Practice Address: | 310 E Main St Avon Park, FL - 338253216 |
Business Phone Number: | 3215251556 |
Business Fax Number: | |
Mailing Address: | 310 E Main St, AVON PARK |
State: | FL |
Postal Code: | 338253216 |
Phone Number: | 3215251556 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 05/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |