Individual
ALI S KANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MA
Contact information
Practice address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
08/07/2019
Last updated
03/31/2026
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