Provider Demographics
NPI:1780440776
Name:ADEN, ALI (LPC, LADC)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ADEN
Suffix:
Gender:M
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1676
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56302-1676
Mailing Address - Country:US
Mailing Address - Phone:612-978-0325
Mailing Address - Fax:
Practice Address - Street 1:22 WILSON AVE NE STE 109
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0412
Practice Address - Country:US
Practice Address - Phone:612-978-0325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4711101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional