Provider Demographics
NPI:1063255685
Name:ZEIN EDDIN, HUNADA
Entity type:Individual
Prefix:
First Name:HUNADA
Middle Name:
Last Name:ZEIN EDDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43841 CENTERGATE DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-2414
Mailing Address - Country:US
Mailing Address - Phone:504-613-8652
Mailing Address - Fax:
Practice Address - Street 1:43841 CENTERGATE DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-2414
Practice Address - Country:US
Practice Address - Phone:504-613-8652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013636101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional