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Individual

MAHMOUD IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCAPRE.195424
OH
101YP2500X
Professional Counselor
Primary
C.2608451
OH
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
OH
172V00000X
Community Health Worker
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881101780
TX
Enumeration date
08/10/2020
Last updated
08/11/2026
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