Individual
DANIELLE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(651) 964-3728
Mailing address
1715 7TH ST W UNIT 16523, SAINT PAUL, MN 55116-2485
(651) 357-2796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305352
MN
101YM0800X
Mental Health Counselor
Primary
CC03288
MN
Other
Enumeration date
09/14/2021
Last updated
07/31/2024
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