Individual
CATHERINE NICOLE BREUER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 210-9966
Mailing address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 210-9966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01097
MN
Other
Enumeration date
09/20/2016
Last updated
01/26/2018
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