Individual
MS. KARIN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
WOODLAND CENTERS, 1125 6TH STREET SE, WILLMAR, MN 56201-4675
(320) 231-9148
(320) 231-9140
Mailing address
13350 195TH ST NE, ATWATER, MN 56209
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3149
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013095
PREFERRED ONE
—
01
—
115373
UCARE
—
01
—
6233168
UBH
—
01
—
7H095JO
BLUE CROSS
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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