Stephanie A Johnson
Community/Behavioral Health in Shoreview, MN. Organization (NPI-2).
NPI number1164057147
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1164057147
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephanie A Johnson
- Organization subpart
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Stephanie Johnson Therapy Services (Doing Business As)
Practice location
3550 Lexington Ave N Ste 207Shoreview, MN 55126-8136
Phone 651-354-1443
Mailing address
3550 Lexington Ave N Ste 207Shoreview, MN 55126-8136
Authorized official
Stephanie Johnson
Owner
6513541443
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All 6 Community/Behavioral Health Agency providers in Shoreview · All 536 providers in Shoreview
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