Search › Minnesota › 101YA0400X
Joshua Fredrickson, LADC, CBIS
NPI 1871047589 · on the registry since 2016
Practice
- Address
- 6724 43rd Ave N
Crystal, MN 55428 - Phone
- (612) 309-8183
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota