Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joshua Lee Fredrickson, LADC, CBIS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871047589

Joshua Lee Fredrickson, LADC, CBIS is an Addiction (Substance Use Disorder) Counselor in Crystal, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

6724 43rd Ave N
Crystal, MN 55428-5239
Phone: (612) 309-8183
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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 · Licence 303295 (MN)

Record details

NPI number1871047589
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , CBIS
Sole proprietorNo
NPI enumeratedAugust 10, 2016
Last updated in NPPESAugust 10, 2016

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