Individual provider · Type 1 NPI

Kelley Roshelle Johnson, ADC-T

Addiction (Substance Use Disorder) Counselor · Princeton, MN

NPI number 1386590602 Active

Practice location

105 6th Ave S
Princeton, MN 55371-1819

Fax (763) 631-0339

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3188 (MN)

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

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About NPI 1386590602

Kelley Roshelle Johnson, ADC-T's National Provider Identifier is 1386590602, issued on Mar 9, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Princeton, MN. The record was last updated on Mar 9, 2026.