Individual
MRS. KARLIANN K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1704 BELSLY BLVD, MOORHEAD, MN 56560-5274
(218) 233-8068
Mailing address
862 36TH AVE E, #211, WEST FARGO, ND 58078-7922
(218) 831-1304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1076
MN
101YM0800X
Mental Health Counselor
Primary
692-7-15-11-242
ND
Other
Enumeration date
08/05/2011
Last updated
10/20/2015
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