Individual provider · Type 1 NPI

Shamso Iman

Addiction (Substance Use Disorder) Counselor · Sartell, MN

NPI number 1386412229 Active

Practice location

1908 Kruchten Ct S
Sartell, MN 56377-4645

Call (320) 640-7660 Map

Fax (320) 774-1104

Mailing address

720 8th Ave N
St. Cloud, MN 56303-3420

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305859 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386412229

Shamso Iman's National Provider Identifier is 1386412229, issued on Dec 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sartell, MN. The record was last updated on May 4, 2024.