Individual
MS. JOKOTADE MONSURAT SHONIBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
4655 NICOLS RD, SUITE 206, EAGAN, MN 55122-3425
(952) 936-2800
Mailing address
6274 5TH ST NE, FRIDLEY, MN 55432-5035
(763) 572-8761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1501
MN
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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