Individual
CASSANDRA MARY JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Mailing address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4618
MN
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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