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Individual
MR. TIMOTHY ROGER JOHNSON
Active
Individual
MR. TIMOTHY ROGER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1071
MN
106H00000X
Marriage & Family Therapist
Primary
1071
MN
Other
Enumeration date
10/11/2006
Last updated
06/08/2018
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