Individual
ANWAR SHAH HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 289-2089
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302644
MN
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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