Individual
DEENA HABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 OLD GALLOWS RD STE 210, VIENNA, VA 22182-4043
(571) 587-3301
Mailing address
5500 MING AVE STE 265, BAKERSFIELD, CA 93309-4696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017803
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704017803
LICNESE
VA
Enumeration date
02/19/2025
Last updated
02/19/2025
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