Provider Demographics
NPI:1144057993
Name:CHABBEWAL, NOOR KAUR (RC)
Entity type:Individual
Prefix:
First Name:NOOR
Middle Name:KAUR
Last Name:CHABBEWAL
Suffix:
Gender:F
Credentials:RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44121 LEESBURG PIKE STE 275
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5671
Mailing Address - Country:US
Mailing Address - Phone:571-510-0016
Mailing Address - Fax:866-422-2128
Practice Address - Street 1:44121 LEESBURG PIKE STE 275
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5671
Practice Address - Country:US
Practice Address - Phone:571-510-0016
Practice Address - Fax:866-422-2128
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704017349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional