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NPI Code Detail

MEDICARE: KOOH COUNSELING

MEDICARE: KOOH COUNSELING
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 : 1891658134
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOOH COUNSELING
Provider Business Mailing Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55439-1353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55439-1353
Country : US
Telephone Number : 612-314-5017
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : AIDA SHAHGHASEMI
Credential : MA, LPCC
Telephone Number : 651-955-8672
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “KOOH COUNSELING ” Practice Location

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