Ismail Omar Ismail
Counselor, Mental Health in Bloomington, MN. Individual provider (NPI-1).
NPI number1528898103
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1528898103
- Entity type
- Individual (NPI-1)
- Name
- Ismail Omar Ismail
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1701 American Blvd E Ste 19Bloomington, MN 55425-1151
Phone 952-212-0358 · Fax 612-326-6160
Mailing address
2001 Killebrew Dr Ste 112Bloomington, MN 55425-1871
Phone 952-212-0358 · Fax 612-326-6160
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All 445 Mental Health Counselor providers in Bloomington · All 4,142 providers in Bloomington
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