MATTHEW JOHNSON

SAINT PAUL, MN
NPI1639462211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302661)
Enumeration Date2011-05-16
Last Update Date2011-05-16
Business Address
-- MATTHEW JOHNSON BA, LADC
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104-3614
Phone number: 612-326-7627
Mailing Address
-- MATTHEW JOHNSON BA, LADC
1706 UNIVERSITY AVE W
SAINT PAUL, MN 55104-3614
Phone number: 612-326-7627
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