Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | ||
N | 103K00000X | Behavior Analyst | ||
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1285060244 |
---|---|
Provider Name | Zacharia H Kabia |
First Address | Temple Hills, MD 20748-6733 |
Second Address | Temple Hills, MD 20748-6733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2013 |
Last Update Date | 23/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000000 | (05) | MD |