Sage Johnson
Counselor, Addiction (Substance Use Disorder) in Spencer, IA. Individual provider (NPI-1).
NPI number1982178034
StatusActive
Last updated in NPPESJan 11, 2019
Details
- NPI
- 1982178034
- Entity type
- Individual (NPI-1)
- Name
- Sage Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2019
- Last updated
- Jan 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1900 Grand Ave NSte A
Spencer, IA 51301-2200
Phone 712-262-2952 · Fax 712-262-9098
Mailing address
1900 Grand Ave Ste ASpencer, IA 51301-2200
Phone 712-262-2952 · Fax 712-262-9098
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All 30 Addiction (Substance Use Disorder) Counselor providers in Spencer · All 467 providers in Spencer
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