Individual
ALI ABDULKADIR AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5410 W HUNTINGTON DR, LAVEEN, AZ 85339-2433
(480) 241-6814
Mailing address
1213 S 13TH AVE, PHOENIX, AZ 85007-3928
(480) 241-6814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
AZ COMPLETE AND AIHP
—
Enumeration date
10/31/2022
Last updated
01/31/2023
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