Individual
CYNTHIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 FIECHTNER DR. S. STE H, FARGO, ND 58103
(218) 329-3552
(701) 403-8003
Mailing address
3309 FIECHTNER DR. S. STE H, FARGO, ND 58103
(218) 329-3552
(701) 403-8003
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
321-81-9542
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462112
—
ND
Enumeration date
05/22/2007
Last updated
06/26/2018
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