Individual
ANDREA ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3848 YORK AVE S, MINNEAPOLIS, MN 55410-1161
(763) 350-4939
Mailing address
3848 YORK AVE S, MINNEAPOLIS, MN 55410-1161
(763) 350-4939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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