Provider Demographics
NPI:1104543529
Name:ABUKAR, ADNA MUSTAFA
Entity type:Individual
Prefix:
First Name:ADNA
Middle Name:MUSTAFA
Last Name:ABUKAR
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 1:1200 2ND AVE S # LL
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2513
Mailing Address - Country:US
Mailing Address - Phone:612-323-9492
Mailing Address - Fax:612-314-8958
Practice Address - Street 1:1200 2ND AVE S # LL
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2513
Practice Address - Country:US
Practice Address - Phone:612-323-9492
Practice Address - Fax:612-314-8958
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health