Individual provider · Type 1 NPI
Kathleen L. Johnson, BS, LADC, CBIS
Addiction (Substance Use Disorder) Counselor · Otsego, MN
NPI number
1346934072
Active
Practice location
10990 95th St NE
Otsego, MN 55362-8149
Fax (952) 448-6047
Mailing address
500 Marschall Rd Ste 300
Shakopee, MN 55379-2690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302203 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1346934072
Kathleen L. Johnson, BS, LADC, CBIS's National Provider Identifier is 1346934072, issued on Jun 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Otsego, MN. The record was last updated on May 15, 2024.