Individual
JILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125
(651) 714-9646
(651) 714-9647
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2449
MN
Other
Enumeration date
06/13/2014
Last updated
03/23/2020
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