Johanneson, Marya M
Johanneson, Marya M is an sole proprietor health care provider with primary practice located at 6001 Egan Dr Ste 197 , Savage MN 55378-2099. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johanneson, Marya M can be contacted via phone (952) 592-2200.Contact Information
Primary practice address
6001 Egan Dr Ste 197
Savage MN 55378-2099
Phone: (952) 592-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1003562018 |
|---|---|
| LBN Legal business name | Johanneson, Marya M |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2022 |
| Last updated | Feb 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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