Individual
LANCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
407 WASHINGTON ST, MONTICELLO, MN 55362-8815
(763) 271-5340
(763) 271-5350
Mailing address
62300 328TH ST, WATKINS, MN 55389-7625
(320) 292-0911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02301
MN
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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