FIDELIS SAB, CAC II

Counselor

Active Individual
NPI: 1023377694

Practice Address

3109 MARTIN LUTHER KING JR AVE SE
Washington, DC 20032

Phone: (202) 800-4433

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Community Health Worker 172V00000X No -
Counselor 101Y00000X Yes CACII200001262 ()

Frequently Asked Questions

NPI 1023377694 is the National Provider Identifier for FIDELIS SAB, CAC II, a Counselor provider located in Washington, DC. This NPI was enumerated on May 16, 2012.
FIDELIS SAB, CAC II practices at 3109 MARTIN LUTHER KING JR AVE SE, Washington, DC 20032.

Quick Facts

NPI
1023377694
Type
Individual
Enumerated
May 16, 2012
Last Updated
Sep 4, 2024

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