Individual
KHADAR FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 UNIVERSITY AVE W STE 279, SAINT PAUL, MN 55104-2801
(612) 552-8486
Mailing address
1821 UNIVERSITY AVE W STE 279, SAINT PAUL, MN 55104-2801
(612) 552-8486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3237
MN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/05/2021
Last updated
04/08/2024
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