Individual
KEVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 4TH ST E STE 301, SAINT PAUL, MN 55101-1771
(651) 410-2750
Mailing address
275 4TH ST E STE 301, SAINT PAUL, MN 55101-1771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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