Katie Lyn Jensen Johnson, MA, LMFT
Marriage & Family Therapist in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1912372632
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1912372632
- Entity type
- Individual (NPI-1)
- Name
- Katie Lyn Jensen Johnson
- Credential
- MA, LMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2015
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3139 | MN | Yes |
Other names
- Katie Lyn Jensen (Former Name)
Practice location
9400 Zane Ave NBrooklyn Park, MN 55443-1814
Phone 763-762-8813 · Fax 763-315-3539
Mailing address
9400 Zane Ave NBrooklyn Park, MN 55443-1814
Phone 763-762-8813 · Fax 763-315-3539
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All 32 Marriage & Family Therapist providers in Brooklyn Park · All 1,366 providers in Brooklyn Park
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