Allen Jerome Johnson
NPI #1922424407 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1922424407
- Entity Type
- Individual
- Name
- Allen Jerome Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 9, 2014
- Last Updated
- Mar 9, 2014
Practice Location
- Address
- 14162 COMMERCE AVE NE
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-1480
- Phone
- (952) 447-1117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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