Individual
LAUREN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 ENERGY PARK DR STE 340, SAINT PAUL, MN 55108-5298
(651) 646-8985
(651) 646-3959
Mailing address
4728 STEVENS AVE, MINNEAPOLIS, MN 55419-5620
(612) 850-0169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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