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

Kiana Kimmjo Johnson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588203830

Kiana Kimmjo Johnson is an Addiction (Substance Use Disorder) Counselor in Lakeville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

18643 Jonesboro Ct
Lakeville, MN 55044-6500
Phone: (612) 708-9043
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 305587 (MN)

Record details

NPI number1588203830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2020
Last updated in NPPESJanuary 4, 2020
Certification dateJanuary 4, 2020

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