Johnson, Jan M

Johnson, Jan M is an individual health care provider with primary practice located at 4123 E Lake St , Minneapolis MN 55406-2255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Johnson, Jan M can be contacted via phone (612) 729-0340.

Contact Information

Primary practice address
4123 E Lake St Minneapolis MN 55406-2255
Phone: (612) 729-0340
Fax: (612) 729-2616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1043547227
LBN Legal business name Johnson, Jan M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2009
Last updated May 24th, 2012 - about 13 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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