TAMMY JON FROST JOHNSON

NEW BRIGHTON, MN
NPI1184899270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302339)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
-- TAMMY JON FROST JOHNSON LADC
1405 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-9301
Phone number: 651-633-4532
Mailing Address
-- TAMMY JON FROST JOHNSON LADC
1405 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-9301
Phone number: 651-633-4532