Healthcare Provider Details

I. General information

NPI: 1114836939
Provider Name (Legal Business Name): HALIMAH AWAWDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W LEXINGTON AVE
EL CAJON CA
92020-4401
US

IV. Provider business mailing address

175 W LEXINGTON AVE
EL CAJON CA
92020-4401
US

V. Phone/Fax

Practice location:
  • Phone: 619-573-1779
  • Fax:
Mailing address:
  • Phone: 619-573-1779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number165346
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: