KIANA KIMMJO JOHNSON

LAKEVILLE, MN
NPI1588203830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305587)
Enumeration Date2020-01-04
Last Update Date2020-01-04
Business Address
KIANA KIMMJO JOHNSON
18643 JONESBORO CT
LAKEVILLE, MN 55044-6500
Phone number: 612-708-9043
Mailing Address
KIANA KIMMJO JOHNSON
18643 JONESBORO CT
LAKEVILLE, MN 55044-6500
Phone number: 612-708-9043
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