Individual
ABIOLA A KUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04306
MN
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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