Individual provider · Type 1 NPI

Mariam Yacoub Fam, LPCC

Professional Counselor · Minneapolis, MN

NPI number 1891230603 Active

Practice location

3333 University Ave SE
Minneapolis, MN 55414-3325

Fax (612) 861-6050

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC01409 (MN)

Professional Counselor: Definition to come...

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About NPI 1891230603

Mariam Yacoub Fam, LPCC's National Provider Identifier is 1891230603, issued on Jan 3, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 3, 2017.