Individual
LISA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 CLEVELAND AVE N, ROSEVILLE, MN 55113-2701
(507) 850-1100
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302157
MN
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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