Individual
MR. WILLIAM ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 CEDAR ST STE 117, MONTICELLO, MN 55362-4411
(612) 968-2918
Mailing address
9875 101ST ST NE, MONTICELLO, MN 55362-1904
(612) 968-2918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00266
MN
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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