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Tiffany Johnson, SAC
Addiction (Substance Use Disorder) Counselor in Superior, Wisconsin
NPI 1245842046

Tiffany Johnson is an Addiction (Substance Use Disorder) Counselor based in Superior, WI and is specialized in Addiction (Substance Use Disorder). Tiffany Johnson practices in Superior, WI and has the professional credentials of SAC. The NPI Number for Tiffany Johnson is 1245842046 and holds a License No. 17016-131 (Wisconsin).

The current practice location address for Tiffany Johnson is 2222 E 5Th St, Superior, WI and can be reached out via phone at 715-392-1955 and via fax at 715-392-1935.

Location: 2222 E 5Th St, Superior, WI, 54880-3709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245842046
Provider Name
Tiffany Johnson
Credential
SAC
Provider Entity Type
Individual
Gender
Female
Address
2222 E 5Th St, Superior, WI, 54880-3709
Phone Number
715-392-1955
Fax Number
715-392-1935
Provider Enumeration Date
08/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2222 E 5Th St
City
Superior
State
Wisconsin
Zip
54880-3709
Phone Number
715-392-1955
Fax Number
715-392-1935
person
Provider Business Mailing Address Details
Address
2222 E 5Th St
City
Superior
State
Wisconsin
Zip
54880-3709
Phone Number
715-392-1955
Fax Number
715-392-1935
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
17016-131 (Wisconsin)
Definition
Definition to come...
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