Individual
DR. TIMOTHY JOHANSSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2395 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55114-1511
(651) 592-6788
Mailing address
2395 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55114-1511
(651) 592-6788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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