Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPCC
Contact information
Practice address
219 SE MAIN ST STE 400, MINNEAPOLIS, MN 55414
(612) 886-2524
(612) 886-2538
Mailing address
219 SE MAIN ST STE 400, MINNEAPOLIS, MN 55414-2151
(612) 886-2524
(612) 886-2538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00100
MN
Other
Enumeration date
02/09/2010
Last updated
06/12/2018
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