Individual provider · NPI-1

Khadra Mohamed Abdilahi

Counselor, Mental Health · Minneapolis, MN

NPI number1790376705
StatusActive
Last updated in NPPESFeb 1, 2021

Details

NPI
1790376705
Entity type
Individual (NPI-1)
Name
Khadra Mohamed Abdilahi
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2021
Certification date
Feb 1, 2021
Last updated
Feb 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–MNYes

Practice location

1925 Portland Ave
Minneapolis, MN 55404-2713

Phone 612-298-7636

Mailing address

5901 3rd St Ne
Fridley, MN 55432-5455

Phone 763-614-6114

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