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Individual

KAREN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCDC III

Contact information

Practice address
2701 S MINNESOTA AVE STE 6, SIOUX FALLS, SD 57105-4746
(605) 334-1822
(605) 334-1823
Mailing address
2701 S MINNESOTA AVE STE 6, SIOUX FALLS, SD 57105-4746
(605) 334-1822
(605) 334-1823

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9803978
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5000430
SD
Enumeration date
05/31/2011
Last updated
02/19/2013
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