Devan Ww Johnson, LAC | |
2126 Vista Ave, Arnegard, Nd 58835, Arnegard, ND 58835 | |
(701) 586-3300 | |
Not Available |
Full Name | Devan Ww Johnson |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2126 Vista Ave, Arnegard, Nd 58835, Arnegard, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710736459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1976 (North Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Devan Ww Johnson, LAC 1521 Emerald Ridge Rd Apt 111, Watford City, ND 58854-8512 Ph: (701) 500-2194 | Devan Ww Johnson, LAC 2126 Vista Ave, Arnegard, Nd 58835, Arnegard, ND 58835 Ph: (701) 586-3300 |
Lindsey Nicole Page, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 Vista Ave, Arnegard, ND 58835 Phone: 480-343-0662 | |
Tasha Jeanmarie Kelly, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 Vista Ave, Arnegard, ND 58835 Phone: 701-586-3300 |