Individual provider · Type 1 NPI

Lisa J. Johnson

Addiction (Substance Use Disorder) Counselor · Roseville, MN

NPI number 1053263376 Active

Practice location

2350 Cleveland Ave N
Roseville, MN 55113-2701

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302157 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053263376

Lisa J. Johnson's National Provider Identifier is 1053263376, issued on Feb 10, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, MN. The record was last updated on Feb 10, 2026.