Maya Abdul Hafiz

Individual provider Active NPI Mental Health Counselor · Cedar Rapids, IA

NPI 1740649904 · NPPES record last updated Feb 16, 2016

Key facts

NPI
1740649904
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
001440 (IA)
Practice address
1030 5TH Ave SE
Cedar Rapids, IA 52403-2464
Phone
(319) 286-4545
Fax
(319) 368-3358
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
001440IAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001440 IA Yes

Addresses

Primary practice location

1030 5TH Ave SE
Cedar Rapids, IA 52403-2464

Mailing address

1030 5TH Ave SE
Cedar Rapids, IA 52403-2464
Phone (319) 286-4545

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.