Individual
KAFAYAT JULMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415-1533
(612) 348-2233
Mailing address
907 3RD ST E, SAINT PAUL, MN 55106-5201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304488
MN
106H00000X
Marriage & Family Therapist
Primary
2770
MN
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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