Stephanie Johnson
Marriage & Family Therapist in Brooklyn Center, MN. Individual provider (NPI-1).
NPI number1831584580
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1831584580
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2015
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4006 | MN | Yes |
Practice location
5910 Shingle Creek PkwyBrooklyn Center, MN 55430-2322
Phone 763-569-5200 · Fax 763-569-5201
Mailing address
5910 Shingle Creek PkwyBrooklyn Center, MN 55430-2322
Phone 763-569-5200 · Fax 763-569-5201
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All 23 Marriage & Family Therapist providers in Brooklyn Center · All 1,338 providers in Brooklyn Center
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