Individual
ALLEN JEROME JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14162 COMMERCE AVE NE, PRIOR LAKE, MN 55372-1480
(952) 447-1117
Mailing address
306 E 100TH ST, BLOOMINGTON, MN 55420-5030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301018
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
99111062
SD
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us