Provider Demographics
NPI:1124726310
Name:BAAR, OSMAN ALI (LAPC, LPC)
Entity type:Individual
Prefix:
First Name:OSMAN
Middle Name:ALI
Last Name:BAAR
Suffix:
Gender:M
Credentials:LAPC, LPC
Other - Prefix:
Other - First Name:SHAKUL
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAPC, LPC
Mailing Address - Street 1:819 30TH AVE S STE 203
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-5054
Mailing Address - Country:US
Mailing Address - Phone:218-443-0088
Mailing Address - Fax:
Practice Address - Street 1:1323 23RD ST S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3759
Practice Address - Country:US
Practice Address - Phone:218-443-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional