ALEX NICHOLAS COFFEY JOHNSON

EAGAN, MN
NPI1578802336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  21849)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302688)
Enumeration Date2013-02-13
Last Update Date2016-04-22
Business Address
Mr. ALEX NICHOLAS COFFEY JOHNSON MSW LICSW LADC
3450 OLEARY LN
EAGAN, MN 55123-2340
Phone number: 651-454-0114
Mailing Address
Mr. ALEX NICHOLAS COFFEY JOHNSON MSW LICSW LADC
3450 OLEARY LN
EAGAN, MN 55123-2340
Phone number: 651-454-0114