Alayande, Samson

Alayande, Samson is an sole proprietor health care provider with primary practice located at 2119 110Th Ln Nw , Coon Rapids MN 55433-4173. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Contractor, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Alayande, Samson can be contacted via phone (612) 456-6090.

Contact Information

Primary practice address
2119 110Th Ln Nw Coon Rapids MN 55433-4173
Phone: (612) 456-6090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1962115030
LBN Legal business name Alayande, Samson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2023
Last updated Aug 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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