Provider Demographics
NPI:1306613377
Name:NAHAS, CAMILLE ALEXANDRA
Entity type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:ALEXANDRA
Last Name:NAHAS
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 1:21161 TWINRIDGE SQ
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-6316
Mailing Address - Country:US
Mailing Address - Phone:703-973-0087
Mailing Address - Fax:
Practice Address - Street 1:39344 LITTLE RIVER TPKE STE 346
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-2000
Practice Address - Country:US
Practice Address - Phone:703-375-9396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health