Organization
MADDIE JOHNSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE JOHNSON LPCC (CEO)
(507) 774-0731
Entity
Organization
Contact information
Practice address
11292 86TH AVE N # 10655369, MAPLE GROVE, MN 55369-4510
(507) 774-0731
Mailing address
11292 86TH AVE N, MAPLE GROVE, MN 55369-4510
(507) 774-0731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
08/18/2026
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