Individual
OMIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1500 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55411-3139
(612) 520-9185
(612) 520-0047
Mailing address
1500 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55411-3139
(612) 520-9185
(612) 520-0047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306854
MN
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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