Individual
KRISTY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1003 CLOQUET AVE STE 117, CLOQUET, MN 55720-1649
(218) 879-5545
Mailing address
2042 WOODDALE DR STE 220, WOODBURY, MN 55125-4421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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