Johnson, Mckenzie

Johnson, Mckenzie is an individual health care provider with primary practice located at 1547 30Th Ave S , Moorhead MN 56560-5149. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Johnson, Mckenzie can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
1547 30Th Ave S Moorhead MN 56560-5149
Phone: (218) 287-4338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-58551
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X L102 North Dakota

Profile Details

NPI number 1003462201
LBN Legal business name Johnson, Mckenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Apr 17th, 2023 - 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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