Individual
INTESAR KASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3887 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(612) 517-5635
Mailing address
3887 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(612) 517-5635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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