Alizandra Louise Johnson, LADC is a
Counselor - Addiction (substance Use Disorder) based in Maple Grove, Minnesota. Alizandra Louise Johnson is licensed to practice in Minnesota (license number 305961) and her current practice location is
13603 80th Cir N, Maple Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 274-3120.
NPI number for Alizandra Louise Johnson is 1699434753 and her current mailing address is 13603 80th Cir N, Maple Grove, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699434753.
Healthcare Provider's Profile
| Full Name | Alizandra Louise Johnson |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 13603 80th Cir N, Maple Grove, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699434753
- Provider Enumeration Date: 12/15/2021
- Last Update Date: 10/11/2024
Medical Identifiers
Medical identifiers for Alizandra Louise Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699434753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305961 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alizandra Louise Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alizandra Louise Johnson, LADC
13603 80th Cir N,
Maple Grove, MN 55369-8961
Ph: () - | Alizandra Louise Johnson, LADC
13603 80th Cir N,
Maple Grove, MN 55369-8961
Ph: (763) 274-3120 |
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