| Siciid Shire Ali, | |
|
4236 Park Glen Rd, St. Louis Park, MN 55416 | |
| (952) 888-7055 | |
| (612) 605-3312 |
| Full Name | Siciid Shire Ali |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4236 Park Glen Rd, St. Louis Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134782972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Siciid Shire Ali, 4236 Park Glen Rd, St. Louis Park, MN 55416 Ph: (952) 888-7055 | Siciid Shire Ali, 4236 Park Glen Rd, St. Louis Park, MN 55416 Ph: (952) 888-7055 |
Makenna Nosbusch, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6726 Walker Street, St. Louis Park, MN 55426 Phone: 612-444-1520 Fax: 612-416-3151 | |
Julie Madsen, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5861 Cedar Lake Road, St. Louis Park, MN 55416 Phone: 612-202-8703 | |
Emily Rudert, Counselor Medicare: Medicare Enrolled Practice Location: 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 Phone: 608-738-8356 | |
Ms. Laine Cecily Hartwell Bermansohn, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 5354 Parkdale Drive, 2nd Floor, St. Louis Park, MN 55416 Phone: 651-645-5323 Fax: 952-746-5962 |