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NPI Code Detail

MEDICARE: YUSUF IBRAHIM

MEDICARE:   YUSUF  IBRAHIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366300667
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUSUF IBRAHIM
Provider Business Mailing Address
First Line : 2700 E DUBLIN GRANVILLE RD STE 460
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4054
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 E DUBLIN GRANVILLE RD STE 460
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4054
Country : US
Telephone Number : 614-681-6948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ YUSUF IBRAHIM ” Practice Location

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