Individual
MR. LEONARDO G JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1704 EMERSON AVE N, NORTH, MINNEAPOLIS, MN 55411-3227
(612) 607-3280
Mailing address
1704 EMERSON AVE N, NORTH, MINNEAPOLIS, MN 55411-3227
(612) 607-3280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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