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NPI Code Detail

MEDICARE: ABDIRAHMAN MAHAMUD MAALIN

MEDICARE:   ABDIRAHMAN MAHAMUD MAALIN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1124806849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDIRAHMAN MAHAMUD MAALIN
Provider Business Mailing Address
First Line : 3012 CLINTON AVE STE 1A
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2421
Country : US
Telephone Number : 612-715-6117
Fax Number :
Provider Business Practice Location Address
First Line : 3012 CLINTON AVE STE 1A
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2421
Country : US
Telephone Number : 612-715-6117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2023
Last Update Date : 09/15/2023

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Directions to “ ABDIRAHMAN MAHAMUD MAALIN ” Practice Location

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