Provider Demographics
NPI:1124806849
Name:MAALIN, ABDIRAHMAN MAHAMUD
Entity type:Individual
Prefix:
First Name:ABDIRAHMAN
Middle Name:MAHAMUD
Last Name:MAALIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 CLINTON AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2421
Mailing Address - Country:US
Mailing Address - Phone:612-715-6117
Mailing Address - Fax:
Practice Address - Street 1:3012 CLINTON AVE STE 1A
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2421
Practice Address - Country:US
Practice Address - Phone:612-715-6117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health