Individual
DR. GARY GENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D, LP, LMFT
Contact information
Practice address
430 OAK GROVE STREET, SUITE 414, MINNEAPOLIS, MN 55403-3242
(612) 872-9072
(612) 872-8605
Mailing address
430 OAK GROVE STREET, SUITE 414, MINNEAPOLIS, MN 55403-3242
(612) 872-9072
(612) 872-8605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1794
MN
Other
Enumeration date
05/02/2007
Last updated
07/09/2007
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