Individual
JESSE TAYLOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCC, NCC
Contact information
Practice address
817 MAIN ST N, CAMBRIDGE, MN 55008-1275
(763) 325-0300
Mailing address
1900 SILVER LAKE RD, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
04/06/2021
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