Healthcare Provider Details

I. General information

NPI: 1881969665
Provider Name (Legal Business Name): ZAYED I AHMED LAMU PHD, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZAYED I AHMED LAMU PHD

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 05/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 COMO AVE
SAINT PAUL MN
55108-1720
US

IV. Provider business mailing address

2230 COMO AVE
SAINT PAUL MN
55108-1720
US

V. Phone/Fax

Practice location:
  • Phone: 651-645-5323
  • Fax: 651-641-6190
Mailing address:
  • Phone: 651-645-5323
  • Fax: 651-641-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number00878
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: