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JOSHUA LEE FREDRICKSON LADC, CBIS
NPI 1871047589
Counselor - Addiction (Substance Use Disorder) in Crystal, MN

Active since August 10, 2016
6724 43RD AVE N, CRYSTAL, MN 55428(612) 309-8183 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Lee Fredrickson Ladc, Cbis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA LEE FREDRICKSON LADC, CBIS (NPI 1871047589) is an individual addiction (substance use disorder) provider in Crystal, Minnesota, licensed in Minnesota (303295) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1871047589
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSHUA LEE FREDRICKSONCredential: LADC, CBIS
Location Address6724 43RD AVE NCrystal, MN 55428-5239
Mailing Address6724 43rd Ave NCrystal, MN 55428-5239 · (612) 309-8183
Phone(612) 309-8183
Sole ProprietorNo
Enumeration DateAugust 10, 2016
✔ NPI 1871047589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 303295
6724 43RD AVE N, Crystal, MN 55428
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Fredrickson's NPI number?

The NPI number for Joshua Fredrickson is 1871047589. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Joshua Fredrickson located?

Joshua Fredrickson practices at 6724 43rd Ave N, Crystal, MN 55428. The listed phone number is (612) 309-8183.

What is Joshua Fredrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Joshua Fredrickson was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.