GREGORY J. JOHNSON

SPENCER, IA
NPI1437839404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  t23079)
Enumeration Date2023-07-24
Last Update Date2023-07-24
Business Address
GREGORY J. JOHNSON
1812 24TH AVE W
SPENCER, IA 51301-2661
Phone number: 712-580-3030
Mailing Address
GREGORY J. JOHNSON
1812 24TH AVE W
SPENCER, IA 51301-2661
Phone number: 712-580-3030