Leonardo G Johnson, MA
Counselor, Addiction (Substance Use Disorder) in Minneapolis, MN. Individual provider (NPI-1).
NPI number1154636637
StatusActive
Last updated in NPPESAug 9, 2010
Details
- NPI
- 1154636637
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leonardo G Johnson
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2010
- Last updated
- Aug 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1704 Emerson Ave NNorth
Minneapolis, MN 55411-3227
Phone 612-607-3280
Mailing address
1704 Emerson Ave NNorth
Minneapolis, MN 55411-3227
Phone 612-607-3280
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