Individual provider · Type 1 NPI
Allen Jerome Johnson
Addiction (Substance Use Disorder) Counselor · Prior Lake, MN
NPI number
1922424407
Active
Practice location
14162 Commerce Ave NE
Prior Lake, MN 55372-1480
Mailing address
306 E 100th St
Bloomington, MN 55420-5030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301018 (MN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 99111062 (SD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1922424407
Allen Jerome Johnson's National Provider Identifier is 1922424407, issued on Mar 9, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prior Lake, MN. The record was last updated on Mar 9, 2014.