NPI 1063729747

Ilyas a Abdikadir, LPCC

Practitioner Home Health Aide Roseville, MN

Practice location

Address: 1751 County Road B W STE 101, Roseville, MN 55113-4037
Phone: (612) 615-6848
Fax: (763) 201-7979

Registered specialties (3)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 2740 (MN)

Other Home Health Aide providers in Minnesota →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2740 (MN)

Other Counselor providers in Minnesota →

Group Psychotherapy Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP2701X Licence 2740 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1063729747
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2010
Record last updated: 24 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.