Johnson, Bradley D

Johnson, Bradley D is an sole proprietor health care provider with primary practice located at 15798 Venture Ln Suite 201, Eden Prairie MN 55344-5729. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Johnson, Bradley D can be contacted via phone (952) 746-3883.

Contact Information

Primary practice address
15798 Venture Ln Suite 201 Eden Prairie MN 55344-5729
Phone: (952) 746-3883
Fax: (952) 746-3894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1209 Minnesota

Profile Details

NPI number 1417170374
LBN Legal business name Johnson, Bradley D
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
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.

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