MEDICARE: NOOR HASSAN

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
1	101Y00000X	Counselor		WI

General Provider Information

NPI Number	:	1316898554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOOR HASSAN

Provider Business Mailing Address
First Line	:	6880 BROOKVIEW DR NE
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-4512
Country	:	US
Telephone Number	:	612-528-9498
Fax Number	:

Provider Business Practice Location Address
First Line	:	342 N WATER ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-5514
Country	:	US
Telephone Number	:	612-528-9498
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ NOOR HASSAN ” Practice Location

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