Individual
SUAD ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPPC
Contact information
Practice address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02519
MN
Other
Enumeration date
10/13/2020
Last updated
11/08/2024
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