Individual
MRS. MADELINE DAVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, ATR
Contact information
Practice address
17901 MAPLE HILL RD, WAYZATA, MN 55391-2732
(952) 237-7989
Mailing address
8401 WAYZATA BLVD, GOLDEN VALLEY, MN 55426
(763) 544-1006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3092
MN
Other
Enumeration date
04/08/2016
Last updated
06/09/2021
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