MR. CRAIG R JOHNSON LADC
NPI 1629449715
Counselor - Addiction (Substance Use Disorder) in Edina, MN
Active since October 14, 2015
About Mr. Craig R Johnson Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CRAIG R JOHNSON LADC (NPI 1629449715) is an individual addiction (substance use disorder) provider in Edina, Minnesota, licensed in Minnesota (303100) and active in the NPI registry since October 2015.
NPPES Registry Identity
NPI1629449715
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CRAIG R JOHNSONCredential: LADC
Location Address7701 YORK AVE S STE 350Edina, MN 55435
Mailing Address7701 York Ave S Ste 350Edina, MN 55435 · (952) 926-2526
Phone(952) 926-2526
Sole ProprietorNo
Enumeration DateOctober 14, 2015
Last NPPES UpdateSeptember 20, 2024
✔ NPI 1629449715 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 303100
7701 YORK AVE S STE 350, Edina, MN 55435
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
7701 YORK AVE S STE 350
EDINA, MN 55435
EDINA, MN 55435
Counselor (Addiction (Substance Use Disorder))
7701 YORK AVE S STE 350
EDINA, MN 55435
EDINA, MN 55435
Counselor (Addiction (Substance Use Disorder))
7701 YORK AVE S STE 350
EDINA, MN 55435
EDINA, MN 55435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629449715, enumerated as an "individual" on October 14, 2015.
The provider is located at 7701 YORK AVE S STE 350 EDINA, MN 55435 and the phone number is (952) 926-2526.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
