Individual
PATRICK DOYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
2912 N 2ND ST, MINNEAPOLIS, MN 55411-1606
(952) 258-3989
Mailing address
2912 N 2ND ST, MINNEAPOLIS, MN 55411-1606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
31334
MN
133V00000X
Registered Dietitian
4046
MN
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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