Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABDUL JALIL SHABAZZ, MS
Active Sole ProprietorABDUL JALIL SHABAZZ, MS is a Professional Counselor healthcare provider located in CANAAN, Connecticut. NPI 1740633379 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CANAAN, CT
Registration Details
- NPI Number
- 1740633379
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2016 (10.044749796676 yrs)
- Last Updated
- Jul 19, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
187 S CANAAN RDCANAAN, CT, 060182544Browse CT providers · Browse ZIP 06018
- Phone
- 8608241397
- Fax
- 8887646211
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CANAAN, CT
| Name | Credential | NPI |
|---|---|---|
| BRITTANIE CAVANAUGH | LPC, LADC | 1558729673 |
| JILLIAN R ZEITLER | — | 1710469408 |
| GHOSIA RAQIB | LPC | 1255188710 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.