Organization
MILESTONE ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA A OMAR (MANAGER)
(612) 253-5512
Entity
Organization
Contact information
Practice address
3055 OLD HIGHWAY 8 STE 305, MINNEAPOLIS, MN 55418-2500
(612) 532-5512
Mailing address
3055 OLD HIGHWAY 8 STE 305, MINNEAPOLIS, MN 55418-2500
(612) 532-5512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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