Individual
CHERYL LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
(612) 902-6006
Mailing address
1121 JACKSON ST NE, SUITE 105, MINNEAPOLIS, MN 55413-1672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303034
MN
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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