Organization
RHONDA JOHNSON, MSW, LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA JOHNSON LICSW (PRIVATE PRACTICE)
(952) 240-0109
Entity
Organization
Contact information
Practice address
2006 1ST AVE STE 101, ANOKA, MN 55303-2255
(952) 240-0109
Mailing address
2006 1ST AVE STE 101, ANOKA, MN 55303-2255
(952) 240-0109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12066
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275413400
—
MN
Enumeration date
04/26/2012
Last updated
02/11/2019
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