Dejene, Seble Wongel

Dejene, Seble Wongel is an sole proprietor health care provider with primary practice located at 1801 Robert Fulton Dr Ste 480 , Reston VA 20191-5481. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Health Service, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Dejene, Seble Wongel can be contacted via phone (703) 261-7000.

Contact Information

Primary practice address
1801 Robert Fulton Dr Ste 480 Reston VA 20191-5481
Phone: (703) 261-7000
Fax: (703) 860-1040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1245611664
LBN Legal business name Dejene, Seble Wongel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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