Individual provider · Type 1 NPI

Idman Fauzi Ahmed

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1811856420 Active

Practice location

1913 Broadway St NE # 100
Minneapolis, MN 55413-2627

Call (763) 353-0763 Map

Fax (763) 260-9898

Mailing address

800 42nd Ave NE Apt 405
Minneapolis, MN 55421-3717

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1811856420

Idman Fauzi Ahmed's National Provider Identifier is 1811856420, issued on Jan 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 20, 2026.