Provider Demographics
NPI:1013469634
Name:HASSAN, AHMED (LPCC)
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BROADWAY ST W STE 302
Mailing Address - Street 2:
Mailing Address - City:OSSEO
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5752
Mailing Address - Country:US
Mailing Address - Phone:763-204-8874
Mailing Address - Fax:763-204-8873
Practice Address - Street 1:101 BROADWAY ST W STE 302
Practice Address - Street 2:
Practice Address - City:OSSEO
Practice Address - State:MN
Practice Address - Zip Code:55369-5752
Practice Address - Country:US
Practice Address - Phone:763-204-8874
Practice Address - Fax:763-204-8873
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health