Individual
MFON BASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 SNELLING AVE N STE A-2, SAINT PAUL, MN 55104-2878
(763) 381-4188
Mailing address
625 SNELLING AVE N STE A-2, SAINT PAUL, MN 55104-2878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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