Individual provider · Type 1 NPI

Sage Johnson

Addiction (Substance Use Disorder) Counselor · Spencer, IA

NPI number 1982178034 Active

Practice location

1900 Grand Ave N, Ste A
Spencer, IA 51301-2200

Fax (712) 262-9098

Mailing address

1900 Grand Ave Ste A
Spencer, IA 51301-2200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1982178034

Sage Johnson's National Provider Identifier is 1982178034, issued on Jan 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spencer, IA. The record was last updated on Jan 11, 2019.