person
Mr. Edwin Jade Maki, LADCBA
Addiction (Substance Use Disorder) Counselor in Fridley, Minnesota
NPI 1962598292

Edwin Jade Maki is an Addiction (Substance Use Disorder) Counselor based in Brookly Lemen, MN and is specialized in Addiction (Substance Use Disorder). Edwin Jade Maki practices in Fridley, MN and has the professional credentials of LADCBA. The NPI Number for Edwin Jade Maki is 1962598292 and holds a License No. 301815 (Minnesota).

The current practice location address for Edwin Jade Maki is 7590 Lyric Lane Ne, Fridley, MN and can be reached out via phone at 763-236-9300 and via fax at 763-236-4370.

Location: 7590 Lyric Lane Ne, Fridley, MN, 55429
person
Provider Profile Details
NPI Number
1962598292
Provider Name
Edwin Jade Maki
Credential
LADCBA
Provider Entity Type
Individual
Gender
Male
Address
7590 Lyric Lane Ne, Fridley, MN, 55429
Phone Number
763-236-9300
Fax Number
763-236-4370
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7590 Lyric Lane Ne
City
State
Zip
55432
Phone Number
763-236-9300
Fax Number
763-236-4370
person
Provider Business Mailing Address Details
Address
7590 Lyric Lane Ne
City
State
Zip
55432
Phone Number
763-236-9300
Fax Number
763-236-4370
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301815 (Minnesota)
Definition
Definition to come...
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