Individual
ALISA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
217 INDUSTRIAL DR SW, WILLMAR, MN 56201-2989
(320) 295-3450
Mailing address
12706 COUNTY ROAD 27 NW, PENNOCK, MN 56279-8510
(320) 295-3450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3612
MN
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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