Individual
JANICE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCDC II
Contact information
Practice address
1714 ABBEY RD, PIERRE, SD 57501-7805
(605) 224-8841
(605) 224-6852
Mailing address
1714 ABBEY ROAD, PIERRE, SD 57501
(605) 224-8841
(605) 224-6852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08081371
SD
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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