Individual
MR. CRAIG R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7701 YORK AVE S STE 350, EDINA, MN 55435
(952) 926-2526
Mailing address
7701 YORK AVE S STE 350, EDINA, MN 55435
(952) 926-2526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303100
MN
Other
Enumeration date
10/14/2015
Last updated
09/20/2024
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