Organization
ELAINE K JOHNSON MA LP LADC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE JOHNSON (OWNER)
(612) 801-5826
Entity
Organization
Contact information
Practice address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(612) 801-5826
(651) 490-5215
Mailing address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(612) 801-5826
(651) 490-5215
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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