Individual
COACH NAKUMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC
Contact information
Practice address
6040 EARLE BROWN DR STE 302, BROOKLYN CENTER, MN 55430-9902
(612) 865-1725
Mailing address
8014 HIGHWAY 55 APT 197, GOLDEN VALLEY, MN 55427-4712
(612) 234-1044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303344
MN
101YM0800X
Mental Health Counselor
Primary
00935
MN
Other
Enumeration date
11/15/2016
Last updated
11/30/2018
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