Individual
AMENA ADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH INFORMATION
Contact information
Practice address
400 S 4TH ST STE 401, MINNEAPOLIS, MN 55415-1419
(651) 494-8254
Mailing address
1980 HEATH AVE N, OAKDALE, MN 55128-5204
(651) 273-4500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
09/11/2025
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