WESLEY DAVID JOHNSON

RAPID CITY, SD
NPI1396012514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  08051365)
Enumeration Date2011-11-17
Last Update Date2011-11-17
Business Address
-- WESLEY DAVID JOHNSON CCDC II
809 SOUTH ST STE 208
RAPID CITY, SD 57701-3583
Phone number: 605-391-3482
Mailing Address
-- WESLEY DAVID JOHNSON CCDC II
809 SOUTH ST STE 208
RAPID CITY, NJ 57701
Phone number: 605-391-3482
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