Individual
JESSICA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2708 119TH AVE NW, COON RAPIDS, MN 55433-2912
(612) 704-9396
Mailing address
6402 RIVER MILL DR, MONTICELLO, MN 55362-3607
(612) 280-6326
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3676
MN
Other
Enumeration date
10/26/2009
Last updated
08/30/2019
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