Individual
WARSAME GOBENA YOUB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9112 BARRINGTON TER, MINNEAPOLIS, MN 55443-1735
(612) 346-8254
Mailing address
9112 BARRINGTON TER, MINNEAPOLIS, MN 55443-1735
(612) 346-8254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92-152590
MN
253Z00000X
In Home Supportive Care Agency
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92-1525920
—
MN
Enumeration date
01/09/2023
Last updated
01/09/2023
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