Devan Ww Johnson, LAC is a
Counselor - Addiction (substance Use Disorder) based in Arnegard, North Dakota. Devan Ww Johnson is licensed to practice in North Dakota (license number 1976) and his current practice location is
2126 Vista Ave, Arnegard, Nd 58835, Arnegard, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 586-3300.
NPI number for Devan Ww Johnson is 1710736459 and his current mailing address is 1521 Emerald Ridge Rd Apt 111, Watford City, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710736459.
Healthcare Provider's Profile
| Full Name | Devan Ww Johnson |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2126 Vista Ave, Arnegard, Nd 58835, Arnegard, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710736459
- Provider Enumeration Date: 05/15/2024
- Last Update Date: 05/15/2024
Medical Identifiers
Medical identifiers for Devan Ww Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710736459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1976 (North Dakota) | 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. Devan Ww 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 |
|---|
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 |
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