Individual
DEBBIE RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
6448 MAIN ST STE 1AND3, NORTH BRANCH, MN 55056-7068
(651) 775-9804
(844) 364-7181
Mailing address
26972 JAMES AVE, CHISAGO CITY, MN 55013-9605
(612) 479-8146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305121
MN
101YM0800X
Mental Health Counselor
Primary
CC03414
MN
Other
Enumeration date
10/29/2019
Last updated
03/05/2025
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