Tammy Jon Frost Johnson, LADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · New Brighton, MN
- NPI
- 1184899270
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 302339 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-29
Practice location
1405 Silver Lake Rd Nw
New Brighton, MN 55112-9301
(651) 633-4532