Individual
GREGORY J. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 24TH AVE W, SPENCER, IA 51301-2661
(712) 580-3030
Mailing address
1812 24TH AVE W, SPENCER, IA 51301-2661
(712) 580-3030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T23079
IA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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