person
Kathleen L Johnson, BS,LADC,CBIS
Addiction (Substance Use Disorder) Counselor in Otsego, Minnesota
NPI 1346934072

Kathleen L Johnson is an Addiction (Substance Use Disorder) Counselor based in Chaska, MN and is specialized in Addiction (Substance Use Disorder). Kathleen L Johnson practices in Otsego, MN and has the professional credentials of BS,LADC,CBIS. The NPI Number for Kathleen L Johnson is 1346934072 and holds a License No. 302203 (Minnesota).

The current practice location address for Kathleen L Johnson is 10990 95Th St Ne, Otsego, MN and can be reached out via phone at 763-329-7195 and via fax at 952-448-6047.

Location: 10990 95Th St Ne, Otsego, MN, 55318-1906
person
Provider Profile Details
NPI Number
1346934072
Provider Name
Kathleen L Johnson
Credential
BS,LADC,CBIS
Provider Entity Type
Individual
Gender
Female
Address
10990 95Th St Ne, Otsego, MN, 55318-1906
Phone Number
763-329-7195
Fax Number
952-448-6047
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10990 95Th St Ne
City
State
Zip
55362-8149
Phone Number
763-329-7195
Fax Number
952-448-6047
person
Provider Business Mailing Address Details
Address
10990 95Th St Ne
City
State
Zip
55362-8149
Phone Number
763-329-7195
Fax Number
952-448-6047
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302203 (Minnesota)
Definition
Definition to come...
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