Individual ProviderMohamed A IsseCounselorBehavioral Health & Social Service ProvidersPractice Address1701 American Blvd E Ste 19, Bloomington, MN 55425-1401(763) 999-5938PECOS EnrollmentBased on the most recent information from CMS, provider Mohamed A Isse does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285334466Provider TypeIndividualFull NameIsse, Mohamed AGenderMaleSole ProprietorNoEnumeration Date3/7/2023Last Updated3/7/2023Contact InformationPractice LocationPractice Address1701 American Blvd E Ste 19, Bloomington, MN 55425-1401Phone(763) 999-5938Fax(612) 326-6160Mailing LocationMailing Address1701 American Blvd E Ste 19, Bloomington, MN 55425-1401Phone(763) 999-5938Fax(612) 326-6160Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer