MEDICARE: ALI ADEN LPCC, LADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	4711	MN
2	101YP2500X	Professional Counselor	4711	MN

General Provider Information

NPI Number	:	1780440776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ADEN LPCC, LADC

Provider Business Mailing Address
First Line	:	PO BOX 1676
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56302-1676
Country	:	US
Telephone Number	:	612-978-0325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 1ST ST N STE 305
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56303-1927
Country	:	US
Telephone Number	:	320-774-1595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	03/03/2026

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