Individual
MICHELLE MARIE JOHNSON-DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
333 GRAND AVE STE 205, SAINT PAUL, MN 55102-2583
(651) 303-4680
Mailing address
174 JUNIPER ST, MAHTOMEDI, MN 55115-1522
(651) 303-4680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7235-125
WI
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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