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
Phone: (763) 400-7828
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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