Fam, Mariam Yacoub
Fam, Mariam Yacoub is an individual health care provider with primary practice located at 3333 University Ave Se , Minneapolis MN 55414-3325. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fam, Mariam Yacoub can be contacted via phone (612) 767-7222.Contact Information
Primary practice address
3333 University Ave Se
Minneapolis MN 55414-3325
Phone: (612) 767-7222
Fax: (612) 861-6050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC01409 | Minnesota |
Profile Details
| NPI number | 1891230603 |
|---|---|
| LBN Legal business name | Fam, Mariam Yacoub |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2017 |
| Last updated | Jan 3rd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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