Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2322
(763) 569-5200
(763) 569-5201
Mailing address
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2322
(763) 569-5200
(763) 569-5201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4006
MN
Other
Enumeration date
03/31/2015
Last updated
09/01/2020
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