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NPI Code Detail

MEDICARE: MEAGHON OMOBUDE

MEDICARE: MEAGHON OMOBUDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1760195762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGHON OMOBUDE
Provider Business Mailing Address
First Line : 4300 CEDAR FOREST DR APT I
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-7703
Country : US
Telephone Number : 804-721-2985
Fax Number :
Provider Business Practice Location Address
First Line : 2333 ONTARIO RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-2627
Country : US
Telephone Number : 202-851-3671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 12/01/2025

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Directions to “ MEAGHON OMOBUDE ” Practice Location

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