Johnson, Kathleen L

Johnson, Kathleen L is an individual health care provider with primary practice located at 10990 95Th St Ne , Otsego MN 55362-8149. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Kathleen L can be contacted via phone (763) 329-7195.

Contact Information

Primary practice address
10990 95Th St Ne Otsego MN 55362-8149
Phone: (763) 329-7195
Fax: (952) 448-6047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302203 Minnesota

Profile Details

NPI number 1346934072
LBN Legal business name Johnson, Kathleen L
Credentials BS, LADC, CBIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated May 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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