Individual
KHEYRO JAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10025 VALLEY VIEW RD STE 110, EDEN PRAIRIE, MN 55344-3561
(612) 389-0050
(612) 500-4944
Mailing address
2048 123RD LN NW, COON RAPIDS, MN 55448-7087
(763) 923-9004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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