Individual
TIPHANY ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
(507) 301-3412
(507) 301-3308
Mailing address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3957
MN
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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