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General NPI Number Information
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NPI Number | 1891658134
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Entity Type | Organization
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Legal Business Name | KOOH COUNSELING
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7201 METRO BLVD STE 550
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City | MINNEAPOLIS
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State | MN
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Zip | 55439-1353
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Country | US
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Telephone | 612-314-5017
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 METRO BLVD STE 550
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City | MINNEAPOLIS
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State | MN
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Zip | 55439-1353
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AIDA SHAHGHASEMI
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Credential | MA, LPCC
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Telephone | 651-955-8672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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