Individual provider · Type 1 NPI
Jeanette Johnson
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1073015624
Active
Practice location
1406 6th Ave N
St. Cloud, MN 56303-1901
Fax (320) 656-7009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304919 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1073015624
Jeanette Johnson's National Provider Identifier is 1073015624, issued on Feb 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 28, 2018.