Individual
HODAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 10TH AVE S, WAITE PARK, MN 56387-1055
(320) 774-1890
Mailing address
8421 WAYZATA BLVD STE 180, GOLDEN VALLEY, MN 55426-1394
(763) 205-5424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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