JEANNE ADELAIDE JOHNSON LADC BA ICADC LAC NPI 1740606227

NPI Information

NPI: 1740606227
Provider Name: JEANNE ADELAIDE JOHNSON, LADC, BA, ICADC, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
8609 LYNDALE AVE S
SUITE 110
BLOOMINGTON, MN
ZIP 55420
Phone: (952) 358-1009
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Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC is an addiction (substance use disorder) counselor in Bloomington, MN. Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC NPI is 1740606227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8609 LYNDALE AVE S
SUITE 110
BLOOMINGTON, MN
ZIP 55420-754
Phone: (952) 358-1009
Fax: (952) 881-1093

The enumeration date for this NPI number is 3/9/2014 and was last updated on 5/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	9605694	SOUTH DAKOTA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	300969	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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