Individual
RACHEL ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5506 33RD AVE S APT 111, FARGO, ND 58104-7447
(218) 329-6453
Mailing address
5506 33RD AVE S APT 111, FARGO, ND 58104-7447
(218) 329-6453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1100-12-1-20-530
ND
101YP2500X
Professional Counselor
Primary
1100-12-1-20A
ND
Other
Enumeration date
08/24/2022
Last updated
08/08/2023
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