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Organization

HELPING CHILDREN AND FAMILIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA LYNN JOHNSON PSY.D. (OWNER)
(952) 922-3010
Entity
Organization

Contact information

Practice address
5200 WILLSON RD, SUITE 205, EDINA, MN 55424-1332
(952) 922-3010
(952) 920-4261
Mailing address
5200 WILLSON RD, SUITE 205, EDINA, MN 55424-1332
(952) 922-3010
(952) 920-4261

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4295
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2032501
PREFERRED ONE
MN
01
241M2HE
BCBS
MN
01
6120880
UBH
MN
Enumeration date
03/31/2007
Last updated
08/22/2020
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