Individual
MINAL ALFARUQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, QMHP-A/C
Contact information
Practice address
1041 23RD ST, NEWPORT NEWS, VA 23607-4703
(757) 381-2278
Mailing address
1041 23RD ST, NEWPORT NEWS, VA 23607-4703
(757) 381-2278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732006377
VA
101YM0800X
Mental Health Counselor
0733005704
VA
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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