Organization
PROVIDENCE 99:1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTA CADALBERT CADALBERT LADC (OWNER)
(651) 815-9714
Entity
Organization
Contact information
Practice address
1330 LAGOON AVE FL 4, MINNEAPOLIS, MN 55408-2885
(651) 815-9714
Mailing address
649 OLD HIGHWAY 8 NW APT 339, NEW BRIGHTON, MN 55112-2873
(651) 815-9714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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