Johnson, Timothy Roger

Johnson, Timothy Roger is an sole proprietor health care provider with primary practice located at 217 Industrial Dr Sw , Willmar MN 56201. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Johnson, Timothy Roger can be contacted via phone (320) 905-0795.

Contact Information

Primary practice address
217 Industrial Dr Sw Willmar MN 56201
Phone: (320) 905-0795
Fax: (320) 200-7480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1071 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1071 Minnesota

Profile Details

NPI number 1699864660
LBN Legal business name Johnson, Timothy Roger
Credentials MA LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jun 8th, 2018 - about 7 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.

Request for update

Popular Providers