person
Ifrah Bashi Laitoussi
Peer Specialist in Fargo, North Dakota
NPI 1003500695

Ifrah Bashi Laitoussi is a Peer Specialist based in Fargo, ND. Ifrah Bashi Laitoussi practices in Fargo, ND. The NPI Number for Ifrah Bashi Laitoussi is 1003500695 and holds a License No. (North Dakota).

The current practice location address for Ifrah Bashi Laitoussi is 1323 23Rd St S Ste D, Fargo, ND and can be reached out via phone at 701-320-2102.

Location: 1323 23Rd St S Ste D, Fargo, ND, 58103-3759
person
Provider Profile Details
NPI Number
1003500695
Provider Name
Ifrah Bashi Laitoussi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1323 23Rd St S Ste D, Fargo, ND, 58103-3759
Phone Number
701-320-2102
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1323 23Rd St S Ste D
City
State
Zip
58103-3759
Phone Number
701-320-2102
Fax Number
person
Provider Business Mailing Address Details
Address
1323 23Rd St S Ste D
City
State
Zip
58103-3759
Phone Number
701-320-2102
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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