Individual
MRS. KRISTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
562 BAVARIA LN, CHASKA, MN 55318
(612) 250-7862
Mailing address
562 BAVARIA LN, CHASKA, MN 55318-4597
(612) 250-7862
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2281
MN
Other
Enumeration date
09/02/2015
Last updated
07/22/2019
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