Individual
ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10150 CITY WALK DR, WOODBURY, MN 55129-9257
(651) 376-3388
Mailing address
432 4TH ST N, BAYPORT, MN 55003-1110
(612) 840-4701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04648
MN
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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