Individual provider · Type 1 NPI

Fatha Bashir

Mental Health Counselor · St. Cloud, MN

NPI number 1053225037 Active

Practice location

340 Highway 10 S
St. Cloud, MN 56304-1243

Call (952) 212-0358 Map

Fax (612) 326-6160

Mailing address

8100 Old Cedar Ave S Ste 100
Bloomington, MN 55425-1857

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053225037

Fatha Bashir's National Provider Identifier is 1053225037, issued on Sep 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Sep 29, 2026.