Organization
MIDCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHADAR FARAH LPCC (CEO)
(612) 552-8486
Entity
Organization
Contact information
Practice address
515 15TH AVE S UNIT 139, MINNEAPOLIS, MN 55454-1310
(612) 552-8486
Mailing address
515 15TH AVE S UNIT 139, MINNEAPOLIS, MN 55454-1310
(612) 552-8486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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