Individual
YUSSUF SHAFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LICSW, LADC
Contact information
Practice address
8040 OLD CEDAR AVE S STE 101, BLOOMINGTON, MN 55425-1211
(952) 992-9803
(952) 405-9723
Mailing address
8040 OLD CEDAR AVE S, STE 101, BLOOMINGTON, MN 55425-1205
(952) 562-3740
(952) 405-9723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
07/11/2023
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