Individual
MS. JANNA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-5429
Mailing address
1202 23RD ST S, FARGO, ND 58103-2951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1705
ND
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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