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Xamse Ali Farah
Mental Health Counselor in Bloomington, Minnesota
NPI 1790400588

Xamse Ali Farah is a Mental Health Counselor based in Bloomington, MN and is specialized in Mental Health. Xamse Ali Farah practices in Bloomington, MN. The NPI Number for Xamse Ali Farah is 1790400588 and holds a License No. (Minnesota).

The current practice location address for Xamse Ali Farah is 1701 American Blvd E Ste 19, Bloomington, MN and can be reached out via phone at 763-999-5938 and via fax at 612-326-6160.

Location: 1701 American Blvd E Ste 19, Bloomington, MN, 55425-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790400588
Provider Name
Xamse Ali Farah
Credential
Provider Entity Type
Individual
Gender
Male
Address
1701 American Blvd E Ste 19, Bloomington, MN, 55425-1401
Phone Number
763-999-5938
Fax Number
612-326-6160
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1701 American Blvd E Ste 19
City
Bloomington
State
Minnesota
Zip
55425-1401
Phone Number
763-999-5938
Fax Number
612-326-6160
person
Provider Business Mailing Address Details
Address
1701 American Blvd E Ste 19
City
Bloomington
State
Minnesota
Zip
55425-1401
Phone Number
763-999-5938
Fax Number
612-326-6160
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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