Jan Johnson

NPI #1093920951 in Staples, Minnesota

Provider Information

NPI Number: 1093920951
Entity Type: Organization
Organization Name: Jan Johnson
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 14, 2007
Last Updated: Jul 16, 2008

Practice Location

Address: 201 6TH ST NE
City: Staples
State: Minnesota
ZIP Code: 56479-2431
Phone: (218) 894-0034

Authorized Official

Name: MS. JAN J JOHNSON, LADC
Title: DIRECTOR
Phone: (218) 894-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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