Individual
KELSEY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E RIVER PKWY UNIT 251, CHAMPLIN, MN 55316-1412
(763) 221-9024
Mailing address
220 E RIVER PKWY UNIT 251, CHAMPLIN, MN 55316-1412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306163
MN
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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