Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen L Johnson, BS, LADC, CBIS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1346934072

Kathleen L Johnson, BS, LADC, CBIS is an Addiction (Substance Use Disorder) Counselor in Otsego, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

10990 95th St NE
Otsego, MN 55362-8149
Phone: (763) 329-7195
Fax: (952) 448-6047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 302203 (MN)

Record details

NPI number1346934072
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , LADC , CBIS
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

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