Individual provider · Type 1 NPI

Ridwaan Aydarus Adam

Mental Health Counselor · Bloomington, MN

NPI number 1386239036 Active

Practice location

9333 Penn Ave S
Bloomington, MN 55431-2320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1386239036

Ridwaan Aydarus Adam's National Provider Identifier is 1386239036, issued on Mar 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, MN. The record was last updated on Mar 4, 2021.