Individual
KOWSARINA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4265 NICOLS RD APT 216, EAGAN, MN 55122-1417
(612) 799-9656
Mailing address
4265 NICOLS RD APT 216, EAGAN, MN 55122-1417
(612) 799-9656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305752
MN
101YM0800X
Mental Health Counselor
Primary
4550
MN
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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