Johnson, Alan Ralph
Johnson, Alan Ralph is an individual health care provider with primary practice located at 1125 6Th Street Se Woodland Centers, Willmar MN 56201-4675. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Johnson, Alan Ralph can be contacted via phone (320) 231-9148.Contact Information
Primary practice address
1125 6Th Street Se Woodland Centers
Willmar MN 56201-4675
Phone: (320) 231-9148
Fax: (320) 231-9140
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 530 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 193 | Minnesota |
Profile Details
NPI number | 1841359023 |
---|---|
LBN Legal business name | Johnson, Alan Ralph |
Credentials | LICSW LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841359023 | NPPES |
Other | 1013108 | PREFERRED ONE | |
Other | 5220229 | PREFERRED ONE | |
Other | 115374 | PREFERRED ONE | |
Other | 30025JO | PREFERRED ONE |
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