Individual
MIRAD ABDINUR FARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ETNA ST STE 35, SAINT PAUL, MN 55106-5847
(651) 797-4141
(651) 788-9444
Mailing address
2575 IVY AVE E, MAPLEWOOD, MN 55119-7163
(952) 288-1042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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