Nadine Abi Jaber

Individual provider Active NPI Art Therapist · Springfield, VA

NPI 1861077679 · NPPES record last updated Mar 12, 2021

Key facts

NPI
1861077679
Entity type
Individual (NPI type 1)
Primary specialty
Art Therapist 221700000X
License
20-152 (VA)
Practice address
8519 Tuttle Rd
Springfield, VA 22152-1508
Phone
(703) 451-8041
NPI assigned
Mar 12, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 20-152 VA Yes

Addresses

Primary practice location

8519 Tuttle Rd
Springfield, VA 22152-1508

Mailing address

14620 Stone Range Dr
Centreville, VA 20120-2907
Phone (703) 477-2630

Other providers in Springfield, VA

All providers in Springfield, VA · Art Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.