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Individual

MS. LU ANN JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RADC1

Contact information

Practice address
201 PRENTICE ST N, STEVENS POINT, WI 54481-1162
(715) 345-0711
Mailing address
600 OAK ST, 212, WAUPACA, WI 54981-1363
(715) 256-9936

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14268
WI

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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