Individual
STEPHANIE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2822 W 43RD ST, MINNEAPOLIS, MN 55410-1696
(612) 251-6352
Mailing address
2822 W 43RD ST, MINNEAPOLIS, MN 55410-1696
(612) 251-6352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000717
MN
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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