Individual
DR. MANAL ABUKISHK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 PROFESSIONAL HILL DR, FAIRFAX, VA 22031-4611
(703) 876-8480
Mailing address
8320 PROFESSIONAL HILL DR, FAIRFAX, VA 22031-4611
(703) 876-8480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004785
VA
101YM0800X
Mental Health Counselor
PRC13987
DC
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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