Individual
KATHRYN MARIE JOHNCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(651) 456-8494
Mailing address
5001 17TH AVE S, MINNEAPOLIS, MN 55417-1211
(612) 237-3331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
28604
MN
1041C0700X
Clinical Social Worker
Primary
—
MN
Other
Enumeration date
09/30/2021
Last updated
04/22/2026
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