Provider Information for 1801677919
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
FABRICANT COUNSELING, LLC
Organization Subpart: NO
NPI: 1801677919
Last Updated: 2023-10-13
Certification Date: 2023-10-13
Certification Date: 2023-10-13
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801677919 | ||||||||||||||
| Enumeration Date | 2023-10-13 | ||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||
| Status | Active | ||||||||||||||
| Authorized Official Information | Name: ANDREW FABRICANT Title: Owner Phone: 2403634146 | ||||||||||||||
| Mailing Address | 4808 MOORLAND LN APT 512 BETHESDA, MD 20814-6184 United States Phone: 240-363-4146 | Fax: | ||||||||||||||
| Primary Practice Address | 4808 MOORLAND LN APT 512 BETHESDA, MD 20814-6184 United States Phone: 240-363-4146 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|