Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abdirisaq Khalif Ibrahim

Individual provider Counselor · NPI 1366229320

Abdirisaq Khalif Ibrahim is a Counselor in Moorhead, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

2740 36th St S Apt 301
Moorhead, MN 56560-8216
Phone: (218) 790-9816
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1366229320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address2740 36th St S Apt 301, Moorhead, MN 56560-8216

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