Individual
JEREMIAH ELISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAIN ST S, MINOT, ND 58701-3914
(904) 303-4606
Mailing address
100 MAIN ST S, MINOT, ND 58701-3914
(904) 303-4606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
ND
106S00000X
Behavior Technician
—
ND
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
01/06/2026
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