Haille, Samatalis Hussein
Haille, Samatalis Hussein is an individual health care provider with primary practice located at 110 Division St , Waite Park MN 56387-1330. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Haille, Samatalis Hussein can be contacted via phone (612) 735-6673.Contact Information
Primary practice address
110 Division St
Waite Park MN 56387-1330
Phone: (612) 735-6673
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 02336 | Minnesota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 02336 | Minnesota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3240 | Minnesota |
Profile Details
NPI number | 1912664079 |
---|---|
LBN Legal business name | Haille, Samatalis Hussein |
Credentials | MA, LPCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2021 |
Last updated | Jul 2nd, 2024 - about 4 months ago |
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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