Individual
DESIREE ANN MONTONYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(612) 432-8670
Mailing address
823 MAPLE ST, BRAINERD, MN 56401-3770
(612) 432-8670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305960
MN
Other
Enumeration date
09/16/2021
Last updated
11/14/2022
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