Johnson, Lisa Marie

Johnson, Lisa Marie is an individual health care provider with primary practice located at 1600 University Ave W Ste 12 , Saint Paul MN 55104-3952. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is her primary health care specialty. Johnson, Lisa Marie can be contacted via phone (651) 379-5157.

Contact Information

Primary practice address
1600 University Ave W Ste 12 Saint Paul MN 55104-3952
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1711 Minnesota
Behavioral Health & Social Service Providers / Family 103TF0000X LP5255 Minnesota

Profile Details

NPI number 1730360207
LBN Legal business name Johnson, Lisa Marie
Credentials PSYD, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Jul 13th, 2022 - about 2 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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