Individual
ALVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 312-1878
Mailing address
7724 58TH PL N, CRYSTAL, MN 55428-3233
(925) 207-9097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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