Individual
PAUL O KAZEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
287 6TH ST E STE 300, SAINT PAUL, MN 55101-1690
(651) 221-0334
(651) 221-4449
Mailing address
821 RAYMOND AVE STE 400, SAINT PAUL, MN 55114-1525
(651) 206-8444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306662
MN
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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