Provider Demographics
NPI:1457129579
Name:ADEN, AMAL
Entity Type:Individual
Prefix:
First Name:AMAL
Middle Name:
Last Name:ADEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 RAYMOND AVE APT 636
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-0038
Mailing Address - Country:US
Mailing Address - Phone:507-884-0566
Mailing Address - Fax:
Practice Address - Street 1:760 RAYMOND AVE APT 636
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-0038
Practice Address - Country:US
Practice Address - Phone:507-884-0566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health