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Khadija Bashir Ibra
Mental Health Counselor in Bloomington, Minnesota
NPI 1770056244

Khadija Bashir Ibra is a Mental Health Counselor based in Bloomington, MN and is specialized in Mental Health. Khadija Bashir Ibra practices in Bloomington, MN. The NPI Number for Khadija Bashir Ibra is 1770056244 and holds a License No. (Minnesota).

The current practice location address for Khadija Bashir Ibra is 8200 Humboldt Ave S Ste 217, Bloomington, MN and can be reached out via phone at 952-888-7055.

Location: 8200 Humboldt Ave S Ste 217, Bloomington, MN, 55431-1432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770056244
Provider Name
Khadija Bashir Ibra
Credential
Provider Entity Type
Individual
Gender
Female
Address
8200 Humboldt Ave S Ste 217, Bloomington, MN, 55431-1432
Phone Number
952-888-7055
Fax Number
Provider Enumeration Date
01/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8200 Humboldt Ave S Ste 217
City
Bloomington
State
Minnesota
Zip
55431-1432
Phone Number
952-888-7055
Fax Number
person
Provider Business Mailing Address Details
Address
8200 Humboldt Ave S Ste 217
City
Bloomington
State
Minnesota
Zip
55431-1432
Phone Number
952-888-7055
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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