Provider Demographics
NPI:1720702962
Name:MURSAL, ZAHARA ARAB
Entity Type:Individual
Prefix:
First Name:ZAHARA
Middle Name:ARAB
Last Name:MURSAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 48TH AVE S UNIT 423
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-3707
Mailing Address - Country:US
Mailing Address - Phone:612-999-0867
Mailing Address - Fax:
Practice Address - Street 1:5329 48TH AVE S UNIT 423
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-3707
Practice Address - Country:US
Practice Address - Phone:612-999-0867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty