Individual
QASIM ABDUL ALIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
209 KATHLEEN DR, MIDWEST CITY, OK 73110-7766
(404) 732-0125
Mailing address
209 KATHLEEN DR, MIDWEST CITY, OK 73110-7766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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