Individual
DARI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LPC, QMHP
Contact information
Practice address
1323 BIA RT. 4, FORT THOMPSON, SD 57339-0200
(605) 680-3436
Mailing address
PO BOX 200, FORT THOMPSON, SD 57339-0200
(605) 680-3436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SD
101YM0800X
Mental Health Counselor
Primary
LPC7387
SD
Other
Enumeration date
04/13/2009
Last updated
03/02/2017
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