Johnson, Jaclyn Rachel
Johnson, Jaclyn Rachel is an individual health care provider with primary practice located at 4100 Berkshire Ln N , Plymouth MN 55446-3813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Jaclyn Rachel can be contacted via phone (763) 203-9568.Contact Information
Primary practice address
4100 Berkshire Ln N
Plymouth MN 55446-3813
Phone: (763) 203-9568
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 306063 | Minnesota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC04220 | Minnesota |
Profile Details
NPI number | 1447912316 |
---|---|
LBN Legal business name | Johnson, Jaclyn Rachel |
Credentials | MA, LPCC, LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 8th, 2021 |
Last updated | Feb 1st, 2024 - about 7 months 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.
Popular Providers
-
Kritzeck, Caila Blake
10000 Highway 55 Ste 300 , Plymouth MN 55441-6389 -
Sederberg, Anna
12800 Industrial Park Blvd Suite 200, Plymouth MN 55441-3974 -
Laplant Young, Kristeen Joanne
11505 36Th Ave N , Plymouth MN 55441-2304 -
London, Brian Curtis
3007 Harbor Ln N Ste 1600 , Plymouth MN 55447-5112 -
Anton, Heather Marie
9800 Rockford Rd , Plymouth MN 55442-2811 -
Wallin, Megan Elizabeth
18205 45Th Ave N Ste D , Plymouth MN 55446-4594 -
Nash, Alexandria
5410 Teakwood Ln N , Plymouth MN 55442-1756 -
Ahlstrand, Jade Nicole
2855 Campus Dr Ste 660 , Plymouth MN 55441-2665