MR. Edwin Jade Maki, LADC BA

NPI #1962598292 in Fridley, Minnesota

Provider Information

NPI Number
1962598292
Entity Type
Individual
Name
MR. Edwin Jade Maki, LADC BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC BA
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7590 LYRIC LANE NE
Address 2
UNITY HOSPITAL
ZIP Code
55432
Phone
(763) 236-9300

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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