Individual provider · Type 1 NPI

Melanie Johnson

Addiction (Substance Use Disorder) Counselor · Otsego, MN

NPI number 1740864768 Active

Practice location

9245 Quantrelle Ave NE
Otsego, MN 55330-0168

Call (763) 746-9492 Map

Fax (763) 746-3685

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306280 (MN)

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

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About NPI 1740864768

Melanie Johnson's National Provider Identifier is 1740864768, issued on May 6, 2021. 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 Jan 17, 2025.