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El-bethel Amaha
Mental Health Counselor in Crystal, Minnesota
NPI 1841809670

El-bethel Amaha is a Mental Health Counselor based in Crystal, MN and is specialized in Mental Health. El-bethel Amaha practices in Crystal, MN. The NPI Number for El-bethel Amaha is 1841809670 and holds a License No. (Minnesota).

The current practice location address for El-bethel Amaha is 5701 Kentucky Ave N Ste 100, Crystal, MN and can be reached out via phone at 763-202-4767.

Location: 5701 Kentucky Ave N Ste 100, Crystal, MN, 55428-3370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841809670
Provider Name
El-bethel Amaha
Credential
Provider Entity Type
Individual
Gender
Female
Address
5701 Kentucky Ave N Ste 100, Crystal, MN, 55428-3370
Phone Number
763-202-4767
Fax Number
Provider Enumeration Date
07/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10312001 01 BIRTHDATE
institution
Provider Business Practice Location Address Details
Address
5701 Kentucky Ave N Ste 100
City
Crystal
State
Minnesota
Zip
55428-3370
Phone Number
763-202-4767
Fax Number
person
Provider Business Mailing Address Details
Address
5701 Kentucky Ave N Ste 100
City
Crystal
State
Minnesota
Zip
55428-3370
Phone Number
763-202-4767
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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