Samir Omar
Counselor, Mental Health in Bloomington, MN. Individual provider (NPI-1).
NPI number1073376570
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1073376570
- Entity type
- Individual (NPI-1)
- Name
- Samir Omar
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2024
- Certification date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
9340 James Ave SBloomington, MN 55431-2317
Phone 612-226-0907
Mailing address
9340 James Ave SBloomington, MN 55431-2317
Phone 612-226-0907
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