Individual
VICKI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
13911 RIDGEDALE DR, SUITE 330, MINNETONKA, MN 55305-1771
(952) 545-2063
Mailing address
13911 RIDGEDALE DR, SUITE 330, MINNETONKA, MN 55305-1771
(952) 545-2063
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LP0375
MN
Other
Enumeration date
02/21/2007
Last updated
07/09/2007
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