| Mr Edwin Jade Maki, LADC BA | |
|
7590 Lyric Lane Ne, Unity Hospital, Fridley, MN 55432 | |
| (763) 236-9300 | |
| (763) 236-4370 |
| Full Name | Mr Edwin Jade Maki |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7590 Lyric Lane Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962598292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 301815 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edwin Jade Maki, LADC BA 5603 Halifax Ave North, Brookly Lemen, MN 55429 Ph: (763) 536-8787 | Mr Edwin Jade Maki, LADC BA 7590 Lyric Lane Ne, Unity Hospital, Fridley, MN 55432 Ph: (763) 236-9300 |
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105 | |
Matthew John Fritscher, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
David Alan Wood, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612 | |
Andrea N Ellena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 612-273-4636 | |
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370 | |
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288 |