Individual
ABDINAJIB HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 1ST ST SE, SAINT CLOUD, MN 56304-0800
(907) 602-3215
Mailing address
570 1ST ST SE, SAINT CLOUD, MN 56304-0800
(907) 602-3215
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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