Individual
PAULA JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2025 STEARNS WAY STE 111, SAINT CLOUD, MN 56303-1275
(320) 253-3540
(320) 253-1475
Mailing address
2025 STEARNS WAY STE 111, SAINT CLOUD, MN 56303-1275
(320) 253-3540
(320) 253-1475
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3696
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3696
STATE OF MN - BOARD OF MARRIAGE AND FAMILY THERAPY
MN
Enumeration date
06/20/2018
Last updated
06/20/2018
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