Individual
KATHLEEN MARIE JOHANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LPCC
Contact information
Practice address
516 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Mailing address
11225 COUNTY 11, PARK RAPIDS, MN 56470-2622
(218) 732-9454
(218) 732-9454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00361
MN
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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