SearchMinnesota101YA0400X

Alicia Johnson, LADC

NPI 1619511102 · on the registry since 2019

Practice

Address
1900 Chicago Ave
Minneapolis, MN 55404
Phone
(612) 752-8567
Organisation at this address
Avivo
Resource, Inc.
Red Lake Band Of Chippewa Indians
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota