Providence 99:1
Providence 99:1 is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1330 Lagoon Ave Fl 4Minneapolis, MN 55408-2885
Phone: (651) 815-9714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1023952314 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Crysta Cadalbert — Owner · (651) 815-9714 |
| NPI enumerated | April 16, 2026 |
| Last updated in NPPES | April 16, 2026 |
| Certification date | April 16, 2026 |
| Mailing address | 649 Old Highway 8 Nw Apt 339, New Brighton, MN 55112-2873 |
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