Jan Johnson in Staples - Addiction (substance Use Disorder)
Jan Johnson - NPI 1093920951
Jan Johnson is a Addiction (substance Use Disorder) in Staples, Minnesota. Jan Johnson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jan Johnson is 1093920951. The last update date is 2008-07-16.
Jan Johnson's current location address is 518 2nd Ave Ne, Staples, Minnesota. You can contact this provider via phone number 2188942412 and fax number 2188940034. The mailing address for Jan Johnson is 518 2nd Ave Ne, Staples, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jan Johnson |
|---|---|
| Address | 518 2nd Ave Ne, Staples, Minnesota |
| Phone Number | 2188942412 |
| Fax Number | 2188940034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Johnson J Jan |
| Credentials | LADC |
| Telephone Number | 2188940034 |
NPI Number Detail
| NPI Number | 1093920951 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 518 2nd Ave Ne |
|---|---|
| City | Staples |
| State | Minnesota (MN) |
| Post Code | 564792930 |
| Phone Number | 2188942412 |
| Fax Number | 2188940034 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1039408-1-CD |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 437100000 | MN | MHCP |
Post Comment/ Review Below
What is the unique identifier code issued to Jan Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Jan Johnson has been assigned the NPI (National Provider Identifier) 1093920951. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jan Johnson located?
The Jan Johnson is located at 518 2Nd Ave Ne, Staples, MN 564792930.
What is Jan Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jan Johnson is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
When did Jan Johnson receive its 1093920951 assignment?
The Jan Johnson was assigned its 1093920951 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
When was the Jan Johnson's information last updated?
The Jan Johnson's information was last updated on 2008-07-16.