Individual
THOMAS HENRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D. LPCC
Contact information
Practice address
7101 YORK AVE S STE 335, EDINA, MN 55435-4428
(612) 239-5473
Mailing address
11217 KENWORTH LN, LAKEVILLE, MN 55044-8426
(952) 435-7483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
05/09/2018
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