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Ilyas A Abdikadir, LPCC
Mental Health Counselor in Roseville, Minnesota
NPI 1063729747

Ilyas A Abdikadir is a Mental Health Counselor based in Roseville, MN and is specialized in Mental Health. Ilyas A Abdikadir practices in Roseville, MN and has the professional credentials of LPCC. The NPI Number for Ilyas A Abdikadir is 1063729747 and holds a License No. 2740 (Minnesota).

The current practice location address for Ilyas A Abdikadir is 1751 County Road B W Ste 101, Roseville, MN and can be reached out via phone at 612-615-6848 and via fax at 763-201-7979.

Location: 1751 County Road B W Ste 101, Roseville, MN, 55113-4037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063729747
Provider Name
Ilyas A Abdikadir
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
1751 County Road B W Ste 101, Roseville, MN, 55113-4037
Phone Number
612-615-6848
Fax Number
763-201-7979
Provider Enumeration Date
09/01/2010
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
843569697 01 MN PSYCHOTHERAPY
922503090 01 MN PSYCHOTHERAPY
institution
Provider Business Practice Location Address Details
Address
1751 County Road B W Ste 101
City
Roseville
State
Minnesota
Zip
55113-4037
Phone Number
612-615-6848
Fax Number
763-201-7979
person
Provider Business Mailing Address Details
Address
1751 County Road B W Ste 101
City
Roseville
State
Minnesota
Zip
55113-4037
Phone Number
612-615-6848
Fax Number
763-201-7979
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2740 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
103TP2701X
License No.
2740 (Minnesota)
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
2740 (Minnesota)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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