institution
Jan Johnson
Addiction (Substance Use Disorder) Counselor in Staples, Minnesota
NPI 1093920951

Jan Johnson is an Addiction (Substance Use Disorder) Counselor based in Staples, MN and is specialized in Addiction (Substance Use Disorder). Jan Johnson practices in Staples, MN. The NPI Number for Jan Johnson is 1093920951 and holds a License No. 1039408-1-CDT (Minnesota).

The current practice location address for Jan Johnson is 201 6Th St Ne, Staples, MN and can be reached out via phone at 218-894-0034.

Location: 201 6Th St Ne, Staples, MN, 56479-2930
institution
Provider Profile Details
NPI Number
1093920951
Provider Name
Jan Johnson
Credential
Provider Entity Type
Organization
Address
201 6Th St Ne, Staples, MN, 56479-2930
Phone Number
218-894-0034
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
437100000 01 MN MHCP
institution
Provider Business Practice Location Address Details
Address
201 6Th St Ne
City
State
Zip
56479-2431
Phone Number
218-894-0034
Fax Number
person
Provider Business Mailing Address Details
Address
201 6Th St Ne
City
State
Zip
56479-2431
Phone Number
218-894-0034
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1039408-1-CDT (Minnesota)
Definition
Definition to come...
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