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

Mr. Edwin Jade Maki, LADCBA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962598292

Mr. Edwin Jade Maki, LADCBA is an Addiction (Substance Use Disorder) Counselor in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

7590 Lyric Lane NE Unity Hospital
Fridley, MN 55432
Phone: (763) 236-9300
Fax: (763) 236-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 301815 (MN)

Record details

NPI number1962598292
Entity typeIndividual (Type 1)
GenderMale
Credentials LADCBA
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

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