Individual
KYLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Mailing address
3944 28TH AVE S, MINNEAPOLIS, MN 55406-3117
(262) 389-0477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3063
MN
Other
Enumeration date
11/03/2021
Last updated
01/31/2024
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