Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC - Counselor in Bloomington, MN

Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC is a Counselor - Addiction (substance Use Disorder) based in Bloomington, Minnesota. Jeanne Adelaide Johnson is licensed to practice in Minnesota (license number 300969) and her current practice location is 8609 Lyndale Ave S, Suite 110, Bloomington, Minnesota. She can be reached at her office (for appointments etc.) via phone at (952) 358-1009.

NPI number for Jeanne Adelaide Johnson is 1740606227 and her current mailing address is 8609 Lyndale Ave S, Suite 110, Bloomington, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740606227.

Contact Information

Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC
8609 Lyndale Ave S, Suite 110,
Bloomington, MN 55420-2754
(952) 358-1009
(952) 881-1093

Map and Direction


Healthcare Provider's Profile

Full NameJeanne Adelaide Johnson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location8609 Lyndale Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740606227
  • Provider Enumeration Date: 03/09/2014
  • Last Update Date: 05/04/2015

Medical Identifiers

Medical identifiers for Jeanne Adelaide Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740606227NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 300969 (Minnesota)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 9605694 (South Dakota)Secondary

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. Jeanne Adelaide 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 AddressPractice Location Address
Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC
8609 Lyndale Ave S, Suite 110,
Bloomington, MN 55420-2754

Ph: (952) 358-1009
Jeanne Adelaide Johnson, LADC, BA, ICADC, LAC
8609 Lyndale Ave S, Suite 110,
Bloomington, MN 55420-2754

Ph: (952) 358-1009

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