Individual
AL-MUSTAPHA-EL AL-KAHLIL BEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(202) 459-9866
(888) 316-9392
Mailing address
4645 NANNIE HELEN BURROUGHS AVE NE STE 101, WASHINGTON, DC 20019-3622
(202) 459-9866
(888) 316-9392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PRC14349
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRC14349
LICENSE PROFESSIONAL COUNSELOR
DC
Enumeration date
05/30/2019
Last updated
11/27/2023
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