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Individual

JESSICA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
18015 ULYSSES ST NE STE 400, HAM LAKE, MN 55304-4896
(763) 447-8598
Mailing address
14512 JONQUIL ST NW, ANDOVER, MN 55304-3261
(763) 447-8598

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5415
MN

Other

Enumeration date
02/05/2026
Last updated
02/05/2026
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