Individual
MR. YUSUF BISSALLA TIMOTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 927-1326
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 927-1326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4824450
MI
101YM0800X
Mental Health Counselor
Primary
6451017924
MI
Other
Enumeration date
07/27/2021
Last updated
07/20/2023
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