Abdul J Shabazz, MS
Counselor, Professional in Canaan, Connecticut
1740633379- Practice location
- 187 S Canaan RD, Canaan, CT 06018-2544
- Phone
- 860-824-1397
- Fax
- 888-764-6211
- Last updated
- July 19, 2016
Abdul Jalil Shabazz is a Counselor, Professional based in Canaan, CT. Abdul Jalil Shabazz practices in Canaan, CT and has the professional credentials of MS. The NPI Number for Abdul Jalil Shabazz is 1740633379. The current practice location address for Abdul Jalil Shabazz is 187 S Canaan RD, Canaan, CT 06018-2544 and can be reached out via phone at 860-824-1397 and via fax at 888-764-6211.
Provider Profile Details
- NPI Number
- 1740633379
- Provider Name
- Abdul Jalil Shabazz
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 187 S Canaan RD, Canaan, CT 06018-2544
- Phone Number
- 860-824-1397
- Fax Number
- 888-764-6211
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 19, 2016
- Last Update Date
- July 19, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 187 S Canaan RD
Canaan, CT 06018-2544 - City
- Canaan
- State
- Connecticut
- Zip
- 06018-2544
- Phone Number
- 860-824-1397
- Fax Number
- 888-764-6211
Provider Business Mailing Address Details
- Address
- 75 Rustling Reed RD
Naugatuck, CT 06770-3539 - City
- Naugatuck
- State
- CT
- Zip
- 06770-3539
- Phone Number
- 203-525-1265
License Information
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Canaan, CT
View all Counselor, Professional providers in Canaan →Frequently Asked Questions
What is the NPI number of Abdul J Shabazz, MS?
The NPI number of Abdul J Shabazz, MS is 1740633379. It was assigned on July 19, 2016 and is currently active in the NPPES registry.
What is the specialty of Abdul J Shabazz, MS?
Abdul J Shabazz, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Abdul J Shabazz, MS practice?
The practice location is 187 S Canaan RD, Canaan, CT 06018-2544. The office can be reached at 860-824-1397 (phone) or 888-764-6211 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740633379 directly on the NPPES registry website.