Individual
MR. KEVIN A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LADC, CTP
Contact information
Practice address
992 INWOOD AVE N, OAKDALE, MN 55128-6625
(612) 842-9814
Mailing address
992 INWOOD AVE N, OAKDALE, MN 55128-6625
(612) 842-9814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305116
MN
106H00000X
Marriage & Family Therapist
Primary
4354
MN
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/17/2020
Last updated
07/30/2024
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