Johnson, Jennifer Marie

Johnson, Jennifer Marie is an sole proprietor health care provider with primary practice located at 11280 86Th Ave N , Maple Grove MN 55369-4510. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Jennifer Marie can be contacted via phone (763) 400-7828.

Contact Information

Primary practice address
11280 86Th Ave N Maple Grove MN 55369-4510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 909 Minnesota

Profile Details

NPI number 1790183614
LBN Legal business name Johnson, Jennifer Marie
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2014
Last updated Dec 10th, 2020 - about 4 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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