Individual
ALIZANDRA LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(763) 274-3120
Mailing address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305961
MN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/15/2021
Last updated
10/11/2024
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