Organization
TARRIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JOHNSON MA, LPCC (CLINICAL COUNSELOR)
(651) 468-6350
Entity
Organization
Contact information
Practice address
4756 BANNING AVE STE 208, WHITE BEAR LAKE, MN 55110-3206
(651) 468-6350
Mailing address
207 KENWOOD DR W, MAPLEWOOD, MN 55117-2527
(651) 468-6350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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