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Individual

TODD JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
11325 RHODE ISLAND AVE N, CHAMPLIN, MN 55316-3229
(612) 801-0919
Mailing address
11325 RHODE ISLAND AVE N, CHAMPLIN, MN 55316-3229
(612) 801-0919

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300224
MN
101YM0800X
Mental Health Counselor
4393
MN

Other

Enumeration date
01/08/2019
Last updated
11/12/2024
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