Individual
BRADLEY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
15798 VENTURE LN, SUITE 201, EDEN PRAIRIE, MN 55344-5729
(952) 746-3883
(952) 746-3894
Mailing address
15798 VENTURE LN, SUITE 201, EDEN PRAIRIE, MN 55344-5729
(952) 746-3883
(952) 746-3894
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1209
MN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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