Individual
MR. JOSHUA LEE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 379-1709
Mailing address
2841 BRYANT AVE S APT 228, MINNEAPOLIS, MN 55408-4846
(507) 676-0488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305410
MN
Other
Enumeration date
11/09/2020
Last updated
11/12/2020
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