Individual provider · Type 1 NPI

Fardowsa Hassan Iman, LADC

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

NPI number 1730742172 Active

Practice location

524 25th Ave N
St. Cloud, MN 56303-3255

Call (320) 202-1909 Map

Fax (320) 202-1910

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305423 (MN)

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

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About NPI 1730742172

Fardowsa Hassan Iman, LADC's National Provider Identifier is 1730742172, issued on Apr 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on May 20, 2019.