Individual provider · Type 1 NPI

Fardowsa Ahmed Hassan, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1497322267 Active

Practice location

1246 University Ave W
St. Paul, MN 55104-4125

Mailing address

5951 University Ave NE Apt 421
Fridley, MN 55432-2886

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305947 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497322267

Fardowsa Ahmed Hassan, LADC's National Provider Identifier is 1497322267, issued on Jun 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Jun 9, 2021.