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Idman Fauzi Ahmed

Counselor, Addiction (Substance Use Disorder) in Minneapolis, MN. Individual provider (NPI-1).

NPI number1811856420
StatusActive
Last updated in NPPESJan 20, 2026

Details

NPI
1811856420
Entity type
Individual (NPI-1)
Name
Idman Fauzi Ahmed
Sex
Female
Sole proprietor
No
Enumeration date
Jan 20, 2026
Certification date
Jan 20, 2026
Last updated
Jan 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

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

Phone 763-353-0763 · Fax 763-260-9898

Mailing address

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

Phone 763-353-0763 · Fax 763-260-9898

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