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MR. RAFAEL MUIR COHEN M.A.

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1073893145

Provider Information:
MR. RAFAEL MUIR COHEN M.A.
Gender: M
Not Sole Proprietor

Practice Location:
12915 63RD AVE N  MAPLE GROVE, MN 55369-6001 US
Tel: 763-762-6864  Fax: --

Business Mailing Address:
12915 63RD AVE N  MAPLE GROVE, MN 55369-6001 US
Tel: (76-3) -762-6864  Fax: --

NPI Information:
NPI: 1073893145
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
MNCC01349
N221700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Art Therapist
NY001237

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 101YM0800X

Type:

Classification:



Definition:



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