Organization
GREAT LAKES ARMS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHMAN DHUNKAL BOARD MEMBER (BOARD MEMBER)
(612) 414-7739
Entity
Organization
Contact information
Practice address
2917 15TH AVE S, MINNEAPOLIS, MN 55407-1427
(612) 414-7739
Mailing address
2917 15TH AVE S, MINNEAPOLIS, MN 55407-1427
(612) 414-7739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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