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FARDOWSA HASSAN IMAN LADC
NPI 1730742172
Counselor - Addiction (Substance Use Disorder) in Saint Cloud, MN

Active since April 22, 2019
524 25TH AVE N, SAINT CLOUD, MN 56303(320) 202-1909(320) 202-1910 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2019, May 15, 2019, Apr 22, 2019 (3 updates tracked since 2019).

About Fardowsa Hassan Iman Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARDOWSA HASSAN IMAN LADC (NPI 1730742172) is an individual addiction (substance use disorder) provider in Saint Cloud, Minnesota, licensed in Minnesota (305423) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1730742172
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameFARDOWSA HASSAN IMANCredential: LADC
Location Address524 25TH AVE NSaint Cloud, MN 56303-3255
Mailing Address524 25th Ave NSaint Cloud, MN 56303-3255 · (320) 202-1909 · Fax (320) 202-1910
Phone(320) 202-1909
Fax(320) 202-1910
Sole ProprietorNo
Enumeration DateApril 22, 2019
Last NPPES UpdateMay 20, 20193 updates tracked since enumeration
✔ NPI 1730742172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305423
524 25TH AVE N, Saint Cloud, MN 56303
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ANDERSON
Counselor (Addiction (Substance Use Disorder))
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
GINA BENSON BS, LADC
Counselor (Addiction (Substance Use Disorder))
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
SARAH J KANTOR
Registered Nurse
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
KATHRYN HORNER-CARLSON BS LADC
Counselor (Addiction (Substance Use Disorder))
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
SONDRA JEAN LA CROIX BS, LADC
Counselor (Addiction (Substance Use Disorder))
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
KAREN LARSON LSW
Social Worker
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
MR. JOSUE GAMEZ
Counselor (Addiction (Substance Use Disorder))
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909
SHANNON LEE DANIEL
Licensed Vocational Nurse
524 25TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 202-1909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fardowsa Iman's NPI number?

The NPI number for Fardowsa Iman is 1730742172. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Fardowsa Iman located?

Fardowsa Iman practices at 524 25th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 202-1909.

What is Fardowsa Iman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Fardowsa Iman was last updated on May 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.