person
Soumontha Manikham
Professional Counselor in Shoreview, Minnesota
NPI 1114379450

Soumontha Manikham is a Professional Counselor based in Shoreview, MN and is specialized in Professional. Soumontha Manikham practices in Shoreview, MN. The NPI Number for Soumontha Manikham is 1114379450 and holds a License No. 01781 (Minnesota).

The current practice location address for Soumontha Manikham is 5985 Rice Creek Pkwy, Shoreview, MN and can be reached out via phone at 651-348-7240.

Location: 5985 Rice Creek Pkwy, Shoreview, MN, 55126-5038
person
Provider Profile Details
NPI Number
1114379450
Provider Name
Soumontha Manikham
Credential
Provider Entity Type
Individual
Gender
Female
Address
5985 Rice Creek Pkwy, Shoreview, MN, 55126-5038
Phone Number
651-348-7240
Fax Number
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5985 Rice Creek Pkwy
City
State
Zip
55126-5038
Phone Number
651-348-7240
Fax Number
person
Provider Business Mailing Address Details
Address
5985 Rice Creek Pkwy
City
State
Zip
55126-5038
Phone Number
651-348-7240
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
01781 (Minnesota)
Definition
Definition to come...
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