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Provider Information for 1801494489


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KHALIDA JAHED LCSW


Sex: Female

NPI: 1801494489
Last Updated: 2020-10-15
Certification Date: 2020-10-15

Details

NameValue
NPI1801494489
Enumeration Date2020-10-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 7969 ASHTON AVE
MANASSAS, VA 20109-2885
United States

Phone: 703-792-7800 | Fax:703-792-5699
 
Primary Practice Address 7969 ASHTON AVE
MANASSAS, VA 20109-2885
United States

Phone: 703-792-7800 | Fax:703-792-5699
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalVA0904012387