Organization
AQUA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD ABDI (PRESIDENT)
(612) 323-9387
Entity
Organization
Contact information
Practice address
8200 HUMBOLDT AVE S APT 318, BLOOMINGTON, MN 55431-2261
(612) 323-9387
Mailing address
8200 HUMBOLDT AVE S APT 318, BLOOMINGTON, MN 55431-2261
(612) 323-9387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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