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NPI Profile for MENSIMAH SHABAZZ in WETHERSFIELD, CT.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Pastoral |
101YP1600X |
| NPI # | 1831750447 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 06/25/2019 | |
| Last updated | 06/25/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MENSIMAH SHABAZZ
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MENSIMAH SHABAZZ, PHD