Provider Demographics
NPI:1386397354
Name:JAHANGIRI, SIBILA
Entity type:Individual
Prefix:
First Name:SIBILA
Middle Name:
Last Name:JAHANGIRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SIBILA
Other - Middle Name:VALERIEVA
Other - Last Name:BORISSOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 HOLMES RUN PKWY APT 1118
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2881
Mailing Address - Country:US
Mailing Address - Phone:202-251-4012
Mailing Address - Fax:
Practice Address - Street 1:5300 HOLMES RUN PKWY APT 1118
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2881
Practice Address - Country:US
Practice Address - Phone:202-251-4012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health