Individual
ILYAS A ABDIKADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1751 COUNTY ROAD B W STE 101, ROSEVILLE, MN 55113-4037
(612) 615-6848
(763) 201-7979
Mailing address
1751 COUNTY ROAD B W STE 101, ROSEVILLE, MN 55113-4037
(612) 615-6848
(763) 201-7979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2740
MN
103TP2701X
Group Psychotherapy Psychologist
2740
MN
374U00000X
Home Health Aide
Primary
2740
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843569697
HOME HEALTH CARE
MN
01
—
922503090
PSYCHOTHERAPY
MN
Enumeration date
09/01/2010
Last updated
04/24/2025
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