Individual
JANE POLLOCK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Mailing address
13403 283RD AVE, ZIMMERMAN, MN 55398-9217
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3386
MN
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/06/2007
Last updated
09/11/2019
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