Provider Demographics
NPI:1891116646
Name:ABDULLAH, AMEEN HASAN (MS,CADC)
Entity Type:Individual
Prefix:MR
First Name:AMEEN
Middle Name:HASAN
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:MS,CADC
Other - Prefix:MR
Other - First Name:NOT APPLICABLE
Other - Middle Name:NOT APPLICABLE
Other - Last Name:NOT APPLICABLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NOT APPLICABLE
Mailing Address - Street 1:132 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-3968
Mailing Address - Country:US
Mailing Address - Phone:609-394-8988
Mailing Address - Fax:609-394-7401
Practice Address - Street 1:132 PERRY ST.
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618
Practice Address - Country:US
Practice Address - Phone:160-939-4898
Practice Address - Fax:609-394-7401
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)