Individual
CAROL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LSW
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2819
(218) 683-4351
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19836
MN
1041C0700X
Clinical Social Worker
Primary
19836
MN
Other
Enumeration date
03/12/2015
Last updated
01/02/2024
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