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Individual

PATRICIA ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS LADC

Contact information

Practice address
3546 SPAIN PL, MINNEAPOLIS, MN 55418-1238
(651) 221-0334
(651) 221-4449
Mailing address
287 6TH ST E, SUITE 300, SAINT PAUL, MN 55101-1654
(651) 221-0334
(651) 221-4449

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303031
MN

Other

Enumeration date
12/03/2009
Last updated
05/13/2011
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