Individual
ALICIA PAULINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(612) 752-8567
Mailing address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(612) 752-8567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304706
MN
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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